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NPI Code Detail

MEDICARE: KATHLEEN CARLSON ANP

MEDICARE:   KATHLEEN  CARLSON  ANP
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
1363LA2200XAdult Health Nurse PractitionerAPN.0991937-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942578380
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN CARLSON ANP
Provider Business Mailing Address
First Line : 1830 BLAKE AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4275
Country : US
Telephone Number : 970-945-8503
Fax Number :
Provider Business Practice Location Address
First Line : 1906 BLAKE AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4227
Country : US
Telephone Number : 970-384-7090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2011
Last Update Date : 06/19/2026

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