Individual
KRISTI BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10190 BANNOCK ST, NORTHGLENN, CO 80260-6083
(303) 452-9547
Mailing address
7140 WARREN DR, DENVER, CO 80221-2578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179898
CO
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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