Provider Demographics
NPI:1518398817
Name:OPRZEDEK-STURGEON, CHRISTINE M (NP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:OPRZEDEK-STURGEON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:STURGEON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:348 PALMER ST
Mailing Address - Street 2:POB 171
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-3035
Mailing Address - Country:US
Mailing Address - Phone:719-539-5775
Mailing Address - Fax:
Practice Address - Street 1:348 PALMER ST
Practice Address - Street 2:POB 171
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-3035
Practice Address - Country:US
Practice Address - Phone:719-539-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO990200363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health