Provider Demographics
NPI:1750371399
Name:ALBRITTON - MCDONALD, CAROLYN ELIZ (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:ELIZ
Last Name:ALBRITTON - MCDONALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROLYN
Other - Middle Name:E
Other - Last Name:ALBRITTON MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:BIG PINEY
Mailing Address - State:WY
Mailing Address - Zip Code:83113
Mailing Address - Country:US
Mailing Address - Phone:307-276-3306
Mailing Address - Fax:307-276-3024
Practice Address - Street 1:1455 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5559
Practice Address - Country:US
Practice Address - Phone:970-686-3950
Practice Address - Fax:970-686-3960
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY9101A207Q00000X
CO37972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY134459500Medicaid
CO080190311OtherRAILROAD MEDICARE
CO9000146217Medicaid
CO578101YLB8OtherMEDICARE
W25091Medicare UPIN
COH37453Medicare UPIN
W25091Medicare UPIN