1932393824 NPI number — CHRISTINA CARROLL BURRIER GOLSTON LPN

Table of content: CHRISTINA CARROLL BURRIER GOLSTON LPN (NPI 1932393824)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932393824 NPI number — CHRISTINA CARROLL BURRIER GOLSTON LPN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BURRIER GOLSTON
Provider First Name:
CHRISTINA
Provider Middle Name:
CARROLL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GOLSTON
Provider Other First Name:
CHRISTINA
Provider Other Middle Name:
CARROLL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPN
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1932393824
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/04/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8405 E HAMPDEN AVE
Provider Second Line Business Mailing Address:
19M
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80231-4841
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-481-8028
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8405 E HAMPDEN AVE
Provider Second Line Business Practice Location Address:
19M
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80231-4841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-481-8028
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164W00000X , with the licence number:  44720 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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