Provider Demographics
NPI:1417688557
Name:MACCARROLL, CHRISTINE ALVARADO (FNTP, RWP, BCHN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ALVARADO
Last Name:MACCARROLL
Suffix:
Gender:F
Credentials:FNTP, RWP, BCHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10529 TIGERS EYE
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-9566
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10529 TIGERS EYE
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-9566
Practice Address - Country:US
Practice Address - Phone:720-577-5507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach