Nancy J. Carlson
Gynecologist - Maternal & Fetal Medicine and 1 more
2400 N Rockton Ave
Rockford
, Illinois 61103-3655
Nancy J. Carlson
Gynecologist - Maternal & Fetal Medicine and 1 more
2400 N Rockton Ave
Rockford
, Illinois 61103-3655
(815) 971-5000
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Nancy J. Carlson
- 2400 N Rockton Ave
- Rockford, IL
- Zip : 61103-3655
- Phone : (815) 971-5000
Second Address
- Nancy J. Carlson
- 2400 N Rockton Ave
- Rockford, IL
- Zip : 61103-3655
- Phone : (815) 971-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036-067902 | IL |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 336.032045 | IL |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 4301076946 | MI |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | CS00222637 | NM |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD2016-0001 | NM |
National Provider Identifier
| NPI | 1326158502 |
|---|---|
| Provider Name | Nancy J. Carlson |
| First Address | Rockford, IL 61103-3655 |
| Second Address | Rockford, IL 61103-3655 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 12/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036067902 | (05) | IL |
| D16589 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.