Individual
KARRIE LYNN BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
13110 W 63RD PL, ARVADA, CO 80004-3860
(303) 403-4342
Mailing address
13110 W 63RD PL, ARVADA, CO 80004-3860
(303) 403-4342
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
171588
CO
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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