Provider Demographics
NPI:1194085001
Name:REINIG-EVERETT, CHRISTL D (PHD, CTN, APN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:CHRISTL
Middle Name:D
Last Name:REINIG-EVERETT
Suffix:
Gender:F
Credentials:PHD, CTN, APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7220 N 49TH ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-8847
Mailing Address - Country:US
Mailing Address - Phone:303-418-8028
Mailing Address - Fax:303-418-5288
Practice Address - Street 1:7220 N 49TH ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-8847
Practice Address - Country:US
Practice Address - Phone:303-418-8028
Practice Address - Fax:303-418-5288
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1653567163W00000X
CORXN.0107682-NP363LF0000X
COAPN.0998295-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse