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Individual

CAROLINE HUMBLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3551 CHAMBERS RD STE A-D, AURORA, CO 80011-1330
(303) 375-0649
(303) 375-0986
Mailing address
8950 E. LOWRY BLVD, INNOVAGE LOWRY ATTN: GAYLE WASHINGTON, DENVER, CO 80230
(303) 869-4664
(303) 996-1600

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0991721-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
CO
Enumeration date
04/08/2016
Last updated
01/04/2018
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