Carolyn Forbes Walborn, RN,MS,CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704136090 Issued in MI

Practice address

1500 East Medical Center Dr
3Rd Floor Mott Hospital RM 3840
Ann Arbor, MI 48109-5245

Phone

(734) 763-8063

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1417034919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "3RD FLOOR MOTT HOSPITAL RM 3840",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095245",
            "telephone_number": "734-763-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBORN",
        "first_name": "CAROLYN",
        "middle_name": "FORBES",
        "name_prefix": "Mrs.",
        "credential": "RN,MS,CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704136090",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704136090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Wakeam, MD
• Frances T Wakefield, CRNA
• Thomas W Wakefield, MD
• Kimberly Walainis, PT, DPT
• Annette Walblay, N.P.
• Brett J Walcott, D.D.S.
• Wayne Eugene Walcott, DDS MS
• Walcottdental, PLC
• Crytal Walcutt
• Erica Wald, R.D.

• Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.