Carolyn J. Laitsch, RN
Individual provider Active NPI Registered Nurse · Shiprock, NM
NPI 1083869705 · NPPES record last updated Nov 21, 2008
Key facts
- NPI
- 1083869705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 107474 (CO)
- Practice address
- US Hwy 491 North
Shiprock, NM 87420-0160 - Phone
- (505) 368-6401
- Fax
- (505) 368-6431
- NPI assigned
- Nov 21, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107474 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 107474 | CO | Yes |
Addresses
Primary practice location
US Hwy 491 North
Shiprock, NM 87420-0160
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6401
Other providers in Shiprock, NM
- Clinton Edward Krestel
- Ryan Jean Kronen
- April Kunsman
- Tracy L. Kurek
- Cameron Thomas Lachappelle
- Melvina Lake
- Sydney Reed Lambert
- Joann Lameman
- Daniel Langsam
- Sonia Lansing-Gleason
All providers in Shiprock, NM · Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.