Provider Demographics
NPI:1255698510
Name:CARLSEN, LAURA JEAN (NP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:JEAN
Last Name:CARLSEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:JEAN
Other - Last Name:CARLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:16857 TRAIL VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4346
Mailing Address - Country:US
Mailing Address - Phone:303-946-4957
Mailing Address - Fax:
Practice Address - Street 1:7701 SHAFFER PKWY STE A
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3767
Practice Address - Country:US
Practice Address - Phone:720-593-1816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO189678163W00000X
COAPN.0995663-NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse