Doctor Name: | CARMEN YONE CAREY |
NPI Number: | 1326295171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 14221 |
Business Practice Address: | 6901 S 84th St La Vista, NE - 681282127 |
Business Phone Number: | 8656603063 |
Business Fax Number: | |
Mailing Address: | 5612 Leavenworth St, OMAHA |
State: | NE |
Postal Code: | 681061236 |
Phone Number: | 8656603063 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2008 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14221 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |