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NPI Code Detail

MEDICARE: KRISTA ANNE VAN ZWIETEN MD

MEDICARE: KRISTA ANNE VAN ZWIETEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician41440CO
2207P00000XEmergency Medicine PhysicianDR.0041440CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00012740OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952386229
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA ANNE VAN ZWIETEN MD
Provider Business Mailing Address
First Line : P.O. BOX 173862
Second Line :
City : DENVER
State : CO
Zip : 80217-3862
Country : US
Telephone Number : 303-306-7783
Fax Number : 303-306-7753
Provider Business Practice Location Address
First Line : 1719 E. 19TH AVENUE
Second Line :
City : DENVER
State : CO
Zip : 80218-1235
Country : US
Telephone Number : 303-839-7111
Fax Number : 303-306-7753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 01/14/2025

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Directions to “ KRISTA ANNE VAN ZWIETEN MD” Practice Location

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