Individual
STEPHANIE ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1801 W 13TH AVE, DENVER, CO 80204-2407
(800) 805-6989
Mailing address
10228 NORFOLK ST, COMMERCE CITY, CO 80022-7174
(303) 210-2060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0044149
CO
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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