Individual
SHIRLEY I CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
181 W MEADOW DR, SUITE 400, VAIL, CO 81657-5242
(970) 476-1100
(970) 479-5861
Mailing address
181 W MEADOW DR, SUITE 400, VAIL, CO 81657-5242
(970) 476-1100
(970) 479-5861
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
93254
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93254
STATE OF COLORADO LICENSE
CO
Enumeration date
11/02/2006
Last updated
07/08/2007
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