Individual
MISS CHRISTINA RAE IRELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3212 TEJON ST, DENVER, CO 80211-3431
(303) 953-5169
Mailing address
3212 TEJON ST, DENVER, CO 80211-3431
(303) 953-5169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0192701
CO
363LF0000X
Family Nurse Practitioner
Primary
0992141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7315225463
PECOS PAC ID
—
01
—
I20161025001982
PECOS ENROLLMENT ID
—
Enumeration date
05/07/2015
Last updated
05/19/2022
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