Individual
CARLYE SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4680 MARIPOSA LN, CASCADE, CO 80809-1807
(719) 640-6860
Mailing address
PO BOX 278, WOODBURN, OR 97071-0278
(971) 983-5260
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201608223CRNA-PP
OR
Other
Enumeration date
10/06/2016
Last updated
06/05/2017
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