Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | LL1264 | SC |
N | 2080P0202X | Pediatric Cardiologist | DR.0057061 | CO |
Y | 2080P0203X | Pediatric Critical Care Doctor | 57061 | CO |
NPI | 1225265952 |
---|---|
Provider Name | Carly Janine Scahill |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2009 |
Last Update Date | 25/02/2019 |