Provider Demographics
NPI:1922441674
Name:CHRISTMAS, SHAWISHI LUCKIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHAWISHI
Middle Name:LUCKIE
Last Name:CHRISTMAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 WABASH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2544
Mailing Address - Country:US
Mailing Address - Phone:303-564-8435
Mailing Address - Fax:303-321-3496
Practice Address - Street 1:2740 WABASH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2544
Practice Address - Country:US
Practice Address - Phone:303-564-8435
Practice Address - Fax:303-321-3496
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0196984163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse