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Individual

CAROL A ANNIBELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4851 INDEPENDENCE ST STE 270, WHEAT RIDGE, CO 80033-6712
(303) 467-5717
Mailing address
4851 INDEPENDENCE ST, STE 270, WHEAT RIDGE, CO 80033-6715
(303) 467-5717

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3056
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012025
KAISER-COMMERCIAL NUMBER
05
50074580
CO
Enumeration date
02/27/2007
Last updated
07/01/2010
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