IndividualActive
Carol Wallman
NPI 1548248008 · Neonatal Nurse Practitioner · Boulder, CO
Provider details
- NPI number
- 1548248008
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0637 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4747 Arapahoe Ave
Boulder, CO 80303-1133
Phone: (720) 854-7152
Fax: (720) 854-7114
Street-level locationGet directions
Mailing address
345 Maxwell Ave
Boulder, CO 80304-3972
Registry dates
- Enumerated
- 2006-01-05
- Last updated
- 2008-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.