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NPI Code Detail

MEDICARE: CAROLE J WAY FNP-BC

MEDICARE: CAROLE J WAY FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.0991332-NPCO

General Provider Information

NPI Number : 1295123503
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE J WAY FNP-BC
Provider Business Mailing Address
First Line : 4435 RONALD REAGAN BLVD
Second Line :
City : JOHNSTOWN
State : CO
Zip : 80534-6566
Country : US
Telephone Number : 970-619-8139
Fax Number :
Provider Business Practice Location Address
First Line : 4435 RONALD REAGAN BLVD
Second Line :
City : JOHNSTOWN
State : CO
Zip : 80534-6566
Country : US
Telephone Number : 970-619-8139
Fax Number : 970-612-8013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2015
Last Update Date : 01/03/2024

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Directions to “ CAROLE J WAY FNP-BC” Practice Location

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