Individual
CARLA MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Mailing address
214 HILL CT, CASTLE ROCK, CO 80104-2312
(720) 394-3963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1620987
CO
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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