Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APN.0996313-NP | CO |
NPI | 1033792593 |
---|---|
Provider Name | Melody Carpenter |
First Address | Highlands Ranch, CO 80126-4813 |
Second Address | Denver, CO 80211-4003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2021 |
Last Update Date | 03/05/2021 |