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
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
Phone(952) 403-2609
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
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1455 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
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.