Kristine Vandeursen
Dental Hygienist
195 W 14th
Rifle
, Colorado 81650-4716
Kristine Vandeursen
Dental Hygienist
195 W 14th
Rifle
, Colorado 81650-4716
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Kristine Vandeursen
- 2902 East Ave
- Rifle, CO
- Zip : 81650-3177
- Phone :
Second Address
- Kristine Vandeursen
- 195 W 14th
- Rifle, CO
- Zip : 81650-4716
- Phone : (970) 625-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH.002023968 | CO |
National Provider Identifier
| NPI | 1033629662 |
|---|---|
| Provider Name | Kristine Vandeursen |
| First Address | Rifle, CO 81650-3177 |
| Second Address | Rifle, CO 81650-4716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.