Healthcare Provider Details

I. General information

NPI: 1639695026
Provider Name (Legal Business Name): CAROLINE A SCHULOF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 FOXTRAIL DR STE 230
LOVELAND CO
80538-9087
US

IV. Provider business mailing address

1065 NE 125TH ST STE 409
NORTH MIAMI FL
33161-5834
US

V. Phone/Fax

Practice location:
  • Phone: 970-820-0470
  • Fax: 970-315-0030
Mailing address:
  • Phone: 888-852-6672
  • Fax: 786-235-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN1617810
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0993518
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: