Provider Demographics
NPI:1952559437
Name:ST GERMAIN, CAROLE NANCY
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:NANCY
Last Name:ST GERMAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 S QUEBEC WAY
Mailing Address - Street 2:UNIT 52
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2698
Mailing Address - Country:US
Mailing Address - Phone:720-480-8768
Mailing Address - Fax:
Practice Address - Street 1:1811 S QUEBEC WAY
Practice Address - Street 2:UNIT 52
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2698
Practice Address - Country:US
Practice Address - Phone:720-480-8768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist