Provider Demographics
NPI:1588685358
Name:LIMARY, ALFRED MILES (RN)
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:MILES
Last Name:LIMARY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:AL
Other - Middle Name:
Other - Last Name:LIMARY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1650 COCHRANE CIRCLE
Mailing Address - Street 2:USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL MCXE III
Mailing Address - City:FT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-7649
Mailing Address - Fax:719-526-7019
Practice Address - Street 1:1650 COCHRANE CIRCLE
Practice Address - Street 2:USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL MCXE III
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4604
Practice Address - Country:US
Practice Address - Phone:719-526-7015
Practice Address - Fax:719-526-7705
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO128273163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse