Healthcare Provider Details

I. General information

NPI: 1548649973
Provider Name (Legal Business Name): EMILY CARMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2015
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 N CLARKSON ST
DENVER CO
80218
US

IV. Provider business mailing address

PO BOX 21150
BOULDER CO
80308-4150
US

V. Phone/Fax

Practice location:
  • Phone: 720-500-5488
  • Fax: 866-880-7184
Mailing address:
  • Phone: 720-500-5488
  • Fax: 866-880-7184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14187449-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0992047
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: