Healthcare Provider Details

I. General information

NPI: 1467739144
Provider Name (Legal Business Name): BARBARA CARRIE MAYHUGH RNC/NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2011
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 SOUTHPOINTE CT SUITE 110
COLORADO SPRINGS CO
80906-3804
US

IV. Provider business mailing address

4777 S DOWNING ST
ENGLEWOOD CO
80113-5917
US

V. Phone/Fax

Practice location:
  • Phone: 719-576-1743
  • Fax: 719-576-9076
Mailing address:
  • Phone: 303-789-4786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNP 713
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: