Provider Demographics
NPI:1538540943
Name:PEREZ-COLON, CARLA (CRNA)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:PEREZ-COLON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 OVER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-6037
Mailing Address - Country:US
Mailing Address - Phone:786-223-5046
Mailing Address - Fax:
Practice Address - Street 1:600 N. WOLFE ST., BLALOCK 1410
Practice Address - Street 2:JOHN HOPKINS HOSPITAL / DIVISION OF NURSE ANESTHESIA
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:443-287-2937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9293699367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered