Individual
CARLY ANN MOMPELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 S PEORIA ST STE 245, AURORA, CO 80014-5475
(303) 752-7732
(720) 848-9112
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
(970) 490-4173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015053
NY
363A00000X
Physician Assistant
Primary
PA.0006278
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000186067
—
CO
Enumeration date
09/09/2011
Last updated
05/17/2023
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