| NPI | 1710516372 |
|---|---|
| Former Name | KYRIE NICOLE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0997875-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1684177) |
| 163W00000X Registered Nurse (Licence: AL 1-174381) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0997875-NP) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-07-09 |