Provider Demographics
NPI:1396523957
Name:MASKE, KRISPEN (RN)
Entity type:Individual
Prefix:
First Name:KRISPEN
Middle Name:
Last Name:MASKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KRISPEN
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1430 DARROW ALY
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-7106
Mailing Address - Country:US
Mailing Address - Phone:970-618-4932
Mailing Address - Fax:
Practice Address - Street 1:2014 BAKE AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601
Practice Address - Country:US
Practice Address - Phone:970-945-6614
Practice Address - Fax:970-947-0155
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1623272163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health