Provider Demographics
NPI:1932393824
Name:BURRIER GOLSTON, CHRISTINA CARROLL (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:CARROLL
Last Name:BURRIER GOLSTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:CARROLL
Other - Last Name:GOLSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:8405 E HAMPDEN AVE
Mailing Address - Street 2:19M
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4841
Mailing Address - Country:US
Mailing Address - Phone:303-481-8028
Mailing Address - Fax:
Practice Address - Street 1:8405 E HAMPDEN AVE
Practice Address - Street 2:19M
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4841
Practice Address - Country:US
Practice Address - Phone:303-481-8028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44720164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse