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NPI Code Detail

MEDICARE: ABBEY CARROLL PMHNP-BC

MEDICARE:   ABBEY  CARROLL  PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0999486-NPCO

General Provider Information

NPI Number : 1457114043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBEY CARROLL PMHNP-BC
Provider Business Mailing Address
First Line : 5825 DELMONICO DR STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2244
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5825 DELMONICO DR STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2244
Country : US
Telephone Number : 719-238-2523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2024
Last Update Date : 02/05/2024

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Directions to “ ABBEY CARROLL PMHNP-BC” Practice Location

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