Individual
PAULETTE M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
615 FAIRHURST ST, STERLING, CO 80751-4564
(970) 526-8100
(970) 521-3183
Mailing address
615 FAIRHURST ST, STERLING, CO 80751-4523
(970) 526-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
47007
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58482717
—
CO
Enumeration date
03/24/2006
Last updated
04/25/2011
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