Individual
COLLEEN PEARLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1347
MN
363LP0200X
Pediatric Nurse Practitioner
R1030587
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
723718900
—
MN
Enumeration date
06/28/2006
Last updated
10/08/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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