IndividualActive
John Modell, RN
NPI 1750355582 · Administrator Registered Nurse · Fort Carson, CO
Provider details
- NPI number
- 1750355582
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- License
- 332458 (CA)
Practice location
7500 Cochrane Circle
Attn: Col Modell USA Meddac
Fort Carson, CO 80913
Phone: (719) 526-7129
Mailing address
1745 Gumtree Ct
Colorado Springs, CO 80906-7761
Registry dates
- Enumerated
- 2006-02-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.