Geralyn Carroll, RN
Individual provider Active NPI Community Health Registered Nurse · Eagle, CO
NPI 1306236138 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1306236138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 92046 (CO)
- Practice address
- 551 Broadway
Eagle, CO 81631 - Phone
- (970) 328-9819
- NPI assigned
- Feb 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 92046 | CO | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 92046 | CO | Yes |
Addresses
Primary practice location
551 Broadway
Eagle, CO 81631
Mailing address
551 Broadway PO Box 660
Eagle, CO 81631
Phone (970) 328-9819
Other providers in Eagle, CO
- Aura Lee Brink
- Andrea Browning
- Staci Marie Bruce
- Theresa Carey
- Todd Micheal Carmer
- Katherine MF Carter
- Castle Peak Dental
- Castle Peak Dental GPS, PLLC
- Castle Peak Senior Care LLC
- Chaya Care LLC
All providers in Eagle, CO · Community Health Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. 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.