Healthcare Provider Details

I. General information

NPI: 1427282144
Provider Name (Legal Business Name): CARA SUE MAIER RN, MSN, NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 12/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E BOULDER ST
COLORADO SPRINGS CO
80909-5533
US

IV. Provider business mailing address

1400 E BOULDER ST
COLORADO SPRINGS CO
80909-5533
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-5000
  • Fax: 719-365-9510
Mailing address:
  • Phone: 719-365-5000
  • Fax: 719-365-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number126057
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: