Healthcare Provider Details

I. General information

NPI: 1013147917
Provider Name (Legal Business Name): MARSHA ANN CAREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2009
Last Update Date: 07/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 DOWNING ST
DENVER CO
80218-1529
US

IV. Provider business mailing address

2525 E 104TH AVE APARTMENT #1631
THORNTON CO
80233-6174
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-1800
  • Fax:
Mailing address:
  • Phone: 303-720-3396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: