Provider Demographics
NPI:1982943163
Name:ENGKVIST, SHARON K (CNT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:ENGKVIST
Suffix:
Gender:F
Credentials:CNT
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:ENGKVIST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:731 S ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:731 S ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4712
Practice Address - Country:US
Practice Address - Phone:303-907-5840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist