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Contact Information

MARY J CARRASCO, NURSE PRACTITIONER
6850 E EVANS AVE STE 102
DENVER, CO80224-2300
 Phone: 303-691-5009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for MARY J CARRASCO · (Female)

NPI Number 1255981122
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 09/12/2019
Last updated 04/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 0995405-NP
  • CO Other NONE N/A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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