Provider Demographics
NPI:1750633780
Name:BARLOW, CARL (CRNA)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:BARLOW
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3911 AMBROSIA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3888
Mailing Address - Country:US
Mailing Address - Phone:303-788-8888
Mailing Address - Fax:844-347-5158
Practice Address - Street 1:3911 AMBROSIA ST STE 201
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3888
Practice Address - Country:US
Practice Address - Phone:303-788-8888
Practice Address - Fax:303-347-5158
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60306426367500000X
COAPN.0997734-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered