Vanessa Carbone

Individual provider Active NPI Registered Nurse · Firestone, CO

NPI 1447023940 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1447023940
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1662265 (CO)
Practice address
10291 Dogwood St
Firestone, CO 80504-6740
Phone
(401) 862-8935
NPI assigned
Nov 6, 2023
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

State licenses

LicenseStateTypeSpecialty
1662265COMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1662265 CO Yes

Addresses

Primary practice location

10291 Dogwood St
Firestone, CO 80504-6740

Mailing address

10291 Dogwood St
Firestone, CO 80504-6740

Other providers in Firestone, CO

All providers in Firestone, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.