Healthcare Provider Details

I. General information

NPI: 1710826268
Provider Name (Legal Business Name): CARRIE LAIRD RN, BSN, CHPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3558 E DAVIES AVE
CENTENNIAL CO
80122-2027
US

IV. Provider business mailing address

3558 E DAVIES AVE
CENTENNIAL CO
80122-2027
US

V. Phone/Fax

Practice location:
  • Phone: 303-459-4000
  • Fax:
Mailing address:
  • Phone: 303-459-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberRN.0203876
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: