Search › Colorado › 363LF0000X
Carly Prudic, FNP-BC
NPI 1306498860 · on the registry since 2019
Practice
- Address
- 480 Wolverine Dr Ste 3
Bayfield, CO 81122 - Phone
- (970) 764-9150
- Organisation at this address
- Ccc Optical Pc
Total Healthcare
Dr. David C Uthoff Dmd
Pine River Health Care, Inc.
Bayfield Family Eye Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1 Mercado St Ste 160, Durango, CO
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
363L00000X
363LF0000X - Licence states on file
- NM, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado