Provider Demographics
NPI:1376779165
Name:SCHERNECKE, CHRISTI ANN (MSN)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:ANN
Last Name:SCHERNECKE
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10211 ECHO CIR
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5701
Mailing Address - Country:US
Mailing Address - Phone:303-546-6004
Mailing Address - Fax:
Practice Address - Street 1:10211 ECHO CIR
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-5701
Practice Address - Country:US
Practice Address - Phone:303-546-6004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-07
Last Update Date:2009-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO113952163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care