Provider Demographics
NPI:1548594815
Name:CARR, LOUISE GILDA (RN)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:GILDA
Last Name:CARR
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 1:13426 W 22ND PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2112
Mailing Address - Country:US
Mailing Address - Phone:303-278-0983
Mailing Address - Fax:
Practice Address - Street 1:13426 W 22ND PL
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2112
Practice Address - Country:US
Practice Address - Phone:303-278-0983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-19
Last Update Date:2009-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99465163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse