Doctor Name: | MRS. JUDY LAU CARINO |
NPI Number: | 1073846440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, PCCN, APRN |
License Number: | 209004954 |
Business Practice Address: | 2189 Ashby Ln Plainfield, IL - 605865443 |
Business Phone Number: | 6305080891 |
Business Fax Number: | |
Mailing Address: | 2189 Ashby Ln, PLAINFIELD |
State: | IL |
Postal Code: | 605865443 |
Phone Number: | 6305080891 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 05/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209004954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |