Provider Demographics
NPI:1083746275
Name:OGDEN, CARLA MAY (RN)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:MAY
Last Name:OGDEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3518
Mailing Address - Country:US
Mailing Address - Phone:303-440-5140
Mailing Address - Fax:303-440-5144
Practice Address - Street 1:2818 13TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3518
Practice Address - Country:US
Practice Address - Phone:303-440-5140
Practice Address - Fax:303-440-5144
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO57320163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health