Individual
CAROL E GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1465 MAYFIELD CIR, LONGMONT, CO 80501-6719
(303) 588-1822
Mailing address
1465 MAYFIELD CIR, LONGMONT, CO 80501-6719
(303) 588-1822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0054828
CO
163WA2000X
Administrator Registered Nurse
RN.0054828
CO
163WC0200X
Critical Care Medicine Registered Nurse
RN.0054828
CO
163WC0400X
Case Management Registered Nurse
RN.0054828
CO
163WG0000X
General Practice Registered Nurse
RN.0054828
CO
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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