Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 64015 | CO |
NPI | 1013169630 |
---|---|
Provider Name | Christine Joann Krimbill |
First Address | Englewood, CO 80113-3611 |
Second Address | Englewood, CO 80113-3611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2008 |
Last Update Date | 14/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47877801 | (05) | TX |
S78447 | (02) | TX |