Provider Demographics
NPI:1124490057
Name:FORSCHNER, JAMI RICHARDS (RN)
Entity type:Individual
Prefix:MS
First Name:JAMI
Middle Name:RICHARDS
Last Name:FORSCHNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5746
Mailing Address - Country:US
Mailing Address - Phone:303-913-6425
Mailing Address - Fax:
Practice Address - Street 1:361 FAIRFAX ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-5746
Practice Address - Country:US
Practice Address - Phone:303-913-6425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X
CORN.0162517163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education