Provider Demographics
NPI:1477313187
Name:SCANNURA, CHRISTOPHER RAYMOND (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RAYMOND
Last Name:SCANNURA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 E 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5250
Mailing Address - Country:US
Mailing Address - Phone:217-494-0819
Mailing Address - Fax:
Practice Address - Street 1:1025 E 25TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5250
Practice Address - Country:US
Practice Address - Phone:217-494-0819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17-179-4111163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse