Provider Demographics
NPI:1528346764
Name:VENTURA, CHRISTINA MARIE (LPN IV-2)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:VENTURA
Suffix:
Gender:F
Credentials:LPN IV-2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3628 DEXTER CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1051
Mailing Address - Country:US
Mailing Address - Phone:215-609-7486
Mailing Address - Fax:
Practice Address - Street 1:3628 DEXTER CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1051
Practice Address - Country:US
Practice Address - Phone:215-609-7486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO708489376K00000X
CO45828164W00000X
PAPN285603164W00000X
IL043.108900164W00000X
IN27063449A164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No376K00000XNursing Service Related ProvidersNurse's Aide