Individual
KRISTA ANNE VAN ZWIETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1719 E. 19TH AVENUE, DENVER, CO 80218-1235
(303) 839-7111
(303) 306-7753
Mailing address
P.O. BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
41440
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0041440
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04484568
—
CO
01
—
P00012740
RAILROAD MEDICARE
CO
Enumeration date
12/09/2005
Last updated
01/14/2025
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