Provider Demographics
NPI:1215907654
Name:CARSTENS, CHERYL L (NP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:CARSTENS
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3802 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4833
Mailing Address - Country:US
Mailing Address - Phone:928-814-2569
Mailing Address - Fax:928-268-0128
Practice Address - Street 1:3802 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4833
Practice Address - Country:US
Practice Address - Phone:928-814-2569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0102018363LP0808X
AZAP1346363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ70402Medicare ID - Type UnspecifiedCOCONINO
AZ70403Medicare ID - Type UnspecifiedAPACHIE
AZP07014Medicare UPIN