Individual
MS. CAROL LYNN PROCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
151 CENTRAL MAIN ST, PUEBLO CITY-COUNTY HEALTH DEPARTMENT, PUEBLO, CO 81003-4212
(719) 583-4368
(719) 583-4439
Mailing address
20 OAKBRIDGE DR, PUEBLO, CO 81001-1424
(719) 542-0271
(719) 583-4439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62394
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75551781
—
CO
Enumeration date
02/02/2007
Last updated
07/08/2007
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