Individual
DR. DEBRA ANN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.,D.C.
Contact information
Practice address
267 S JOE MARTINEZ BLVD, PUEBLO WEST, CO 81007-2741
(719) 647-1043
(719) 647-9287
Mailing address
267 S JOE MARTINEZ BLVD, PUEBLO WEST, CO 81007-2741
(719) 647-1043
(719) 647-9287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990625-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431739245
TAX IDENTIFICATION
CO
Enumeration date
07/25/2006
Last updated
04/10/2017
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