Shirley I Carlson, RN

Individual provider Active NPI Orthopedic Registered Nurse · Vail, CO

NPI 1508945544 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508945544
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Registered Nurse 163WX0800X
License
93254 (CO)
Practice address
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Phone
(970) 476-1100
Fax
(970) 479-5861
NPI assigned
Nov 2, 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)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
93254COMDOrthopedic Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Registered Nurse 163WX0800X 93254 CO Yes

Addresses

Primary practice location

181 W Meadow Dr
Suite 400
Vail, CO 81657-5242

Mailing address

181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Phone (970) 476-1100

Other identifiers

IdentifierTypeStateIssuer
93254OtherCOSTATE OF COLORADO LICENSE

Other providers in Vail, CO

All providers in Vail, CO · Orthopedic Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.