Provider Demographics
NPI:1417945551
Name:CARRINGTON, SUZANNE M (CNM)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:M
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-450-6667
Mailing Address - Fax:303-457-6742
Practice Address - Street 1:9141 GRANT ST
Practice Address - Street 2:#B-45
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4369
Practice Address - Country:US
Practice Address - Phone:303-450-6667
Practice Address - Fax:303-457-6742
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2011-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO130844367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO55928749Medicaid
CO55928749Medicaid
COC810239Medicare PIN