Provider Demographics
NPI:1538244272
Name:MUNRO, CAROLYN F (MD)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:F
Last Name:MUNRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 E MISSISSIPPI AVE SUITE 600
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246
Mailing Address - Country:US
Mailing Address - Phone:303-394-2131
Mailing Address - Fax:303-759-3515
Practice Address - Street 1:4100 E MISSISSIPPI AVE STE 600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3054
Practice Address - Country:US
Practice Address - Phone:303-394-2131
Practice Address - Fax:303-759-3515
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO332022084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01332022Medicaid
CO01332022Medicaid
COCOA105290Medicare PIN