Healthcare Provider Details

I. General information

NPI: 1811973407
Provider Name (Legal Business Name): SHAYLA MARIE NYGAARD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL
FT CARSON CO
80913-4613
US

IV. Provider business mailing address

1650 COCHRANE CIR UNIT MEDDAC
FT CARSON CO
80913-4604
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7172
  • Fax: 719-526-7850
Mailing address:
  • Phone: 719-526-7172
  • Fax: 719-526-7850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006003
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: