Individual
CHRISTA MARIA COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2767 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 365-2888
Mailing address
2767 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 365-2888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0125853
CO
363L00000X
Nurse Practitioner
APN.0005006-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0005006-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41586000
—
CO
Enumeration date
08/08/2006
Last updated
05/21/2021
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