Paulette M Carpenter, N.P.
Individual provider Active NPI Nurse Practitioner · Sterling, CO
NPI 1114987286 · NPPES record last updated Apr 25, 2011
Key facts
- NPI
- 1114987286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 47007 (CO)
- Practice address
- 615 Fairhurst St
Sterling, CO 80751-4564 - Phone
- (970) 526-8100
- Fax
- (970) 521-3183
- NPI assigned
- Mar 24, 2006
- 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)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 47007 | CO | Yes |
Addresses
Primary practice location
615 Fairhurst St
Sterling, CO 80751-4564
Mailing address
615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 526-8100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58482717 | Medicaid | CO |
Other providers in Sterling, CO
- Casey L Busmente
- Krystal Butacan
- C J Pharmacy Services LLC
- C J Pharmacyservices LLC
- Donna Campbell
- Brenda Carrasco
- Chancely Carter
- Tyree D Ceasar
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
All providers in Sterling, CO · Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2011. 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.