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Individual
MARY CARSON
Active
Individual
MARY CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R65964
NM
163W00000X
Registered Nurse
RN.1679356
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0997272-NP
CO
363LP0200X
Pediatric Nurse Practitioner
CNP-02315
NM
Other
Enumeration date
12/05/2013
Last updated
08/22/2022
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