Provider Demographics
NPI:1447425541
Name:FOLKERS, CARA ELISE
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:ELISE
Last Name:FOLKERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7228 ATTU DR APT A
Mailing Address - Street 2:
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80902-2328
Mailing Address - Country:US
Mailing Address - Phone:815-997-7523
Mailing Address - Fax:
Practice Address - Street 1:7228 ATTU DR APT A
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80902-2328
Practice Address - Country:US
Practice Address - Phone:815-997-7523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator