COLLEEN MARIE ROETHKE RN
NPI 1225172505
Registered Nurse - Diabetes Educator in Shakopee, MN

Active since February 19, 2007
1455 SAINT FRANCIS AVE, DIABETES EDUCATION PROGRAM, SHAKOPEE, MN 55379(952) 403-2609(952) 403-3806 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colleen Marie Roethke Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN MARIE ROETHKE RN (NPI 1225172505) is an individual diabetes educator provider in Shakopee, Minnesota, licensed in Minnesota (R 103484-2) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1225172505
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameCOLLEEN MARIE ROETHKECredential: RN
Location Address1455 SAINT FRANCIS AVE, DIABETES EDUCATION PROGRAMShakopee, MN 55379-3374
Mailing Address13908 James Ave SBurnsville, MN 55337-4456 · (952) 403-2609 · Fax (952) 403-3806
Fax(952) 403-3806
Sole ProprietorNo
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1225172505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in MN · R 103484-2
1455 SAINT FRANCIS AVE, Shakopee, MN 55379

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE, ANESTHESIOLOGY
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Anesthesiology
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Anesthesiology
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Anesthesiology
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Anesthesiology
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Emergency Medicine
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Emergency Medicine
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Emergency Medicine
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Emergency Medicine
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225172505, enumerated as an "individual" on February 19, 2007.

The provider is located at 1455 SAINT FRANCIS AVE DIABETES EDUCATION PROGRAM SHAKOPEE, MN 55379 and the phone number is (952) 403-2609.

Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.