MARY JEAL CARRASCO NURSE PRACTITIONER NPI 1255981122

NPI Information

NPI: 1255981122
Provider Name: MARY JEAL CARRASCO, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: ROCKY MOUNTAIN MEDICAL AND HEALTH CARE, INC.

PECOS Registration: Yes

Address:
6850 E EVANS AVE STE 102
DENVER, CO
ZIP 80224
Phone: (303) 691-5009
Get Directions

Mary Jeal Carrasco, NURSE PRACTITIONER is a primary care nurse practitioner in Denver, CO with 5 years of experience. Mary Jeal Carrasco, NURSE PRACTITIONER NPI is 1255981122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6850 E EVANS AVE STE 102
DENVER, CO
ZIP 80224-300
Phone: (303) 691-5009

The NPI 1255981122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2019 and was last updated on 4/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	0995405-NP	COLORADO	Yes
2	3747A0650X	Technician	Attendant Care Provider			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NONE	OTHER	COLORADO	N/A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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