Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY PECORIELLO PRUDIC, FNP-BC
ActiveCARLY PECORIELLO PRUDIC, FNP-BC is a Family Nurse Practitioner healthcare provider located in BAYFIELD, Colorado. NPI 1306498860 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BAYFIELD, CO
Registration Details
- NPI Number
- 1306498860
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2019 (6.8984700031862 yrs)
- Last Updated
- Jul 21, 2023
- Licenses
-
RN-79812 (NM)C-APN.0003335-C-NP (CO)568903 (NM)C-APN.0003335-C-NP (CO)
Practice Information
- Address
-
480 WOLVERINE DR STE 3BAYFIELD, CO, 811229653Browse CO providers · Browse ZIP 81122
- Phone
- 9707649150
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in BAYFIELD, CO
| Name | Credential | NPI |
|---|---|---|
| BRONWYN KATHLEEN RADCLIFFE | F.N.P. | 1588683213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.