Doctor Name: | MARIA E CARICO |
NPI Number: | 1265813141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 343505 |
Business Practice Address: | 262 W Main St Amelia, OH - 451021309 |
Business Phone Number: | 5137182260 |
Business Fax Number: | 5137182261 |
Mailing Address: | 2620 Elm Hill Pike, NASHVILLE |
State: | TN |
Postal Code: | 372143108 |
Phone Number: | 6154254211 |
Fax Number: | 6154254201 |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 343505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |