Carrasco, Mary Jeal

Carrasco, Mary Jeal is an individual health care provider with primary practice located at 6850 E Evans Ave Ste 102 , Denver CO 80224-2300. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Carrasco, Mary Jeal can be contacted via phone (303) 691-5009.

Contact Information

Primary practice address
6850 E Evans Ave Ste 102 Denver CO 80224-2300
Phone: (303) 691-5009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0995405-NP Colorado

Profile Details

NPI number 1255981122
LBN Legal business name Carrasco, Mary Jeal
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2019
Last updated Apr 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255981122 NPPES
Colorado Other NONE N/A

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