Individual
MS. KRISTINA MARIE PENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AC000918
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0990770-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53901584
—
CO
01
—
P01223543
RR MEDICARE
CO
Enumeration date
01/31/2011
Last updated
09/22/2016
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