Individual
CRYSTAL ANN CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12959 S PARKER RD, PARKER, CO 80134-3447
(303) 523-2054
Mailing address
1303 KINGSFIELD ST, CASTLE ROCK, CO 80104-3299
(303) 523-2054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0993669-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN0993669
CO
Other
Enumeration date
02/02/2018
Last updated
02/08/2018
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