Doctor Name: | CHARLENE CARRERA |
NPI Number: | 1285020925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0330471 |
Business Practice Address: | 910 E Railroad Ave Fort Morgan, CO - 807013399 |
Business Phone Number: | 9708674924 |
Business Fax Number: | 9708672695 |
Mailing Address: | 211 W Main St, STERLING |
State: | CO |
Postal Code: | 807513168 |
Phone Number: | 9705224549 |
Fax Number: | 9705226898 |
NPI Enumeration Date: | 04/09/2015 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 0330471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |