Individual
CAROL JOAN PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2515 BROADWAY ST, BOULDER, CO 80304-4110
(303) 245-0894
(303) 245-0916
Mailing address
1019 HERMAN PL, LONGMONT, CO 80501-1802
(303) 772-3084
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
84137
CO
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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