Individual
MRS. SHERRIE CLARDY GOORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 CENTRAL MAIN ST, PUEBLO, CO 81003-4212
(719) 583-4364
Mailing address
151 CENTRAL MAIN ST, PUEBLO, CO 81003-4212
(719) 583-4364
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN107269
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07072697
—
CO
Enumeration date
01/31/2007
Last updated
07/08/2007
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