Carol Ann Gunnersen in Derby - Licensed Practical Nurse
Carol Ann Gunnersen - NPI 1629131776
Carol Ann Gunnersen is a Licensed Practical Nurse in Derby, New York. Carol Ann Gunnersen practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Carol Ann Gunnersen is 1629131776. The last update date is 2007-07-08.
Carol Ann Gunnersen's current location address is 6890 Brandywine Dr, Derby, New York. You can contact this provider via phone number 7169479141. The mailing address for Carol Ann Gunnersen is 6890 Brandywine Dr, Derby, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Ann Gunnersen |
|---|---|
| Address | 6890 Brandywine Dr, Derby, New York |
| Phone Number | 7169479141 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1629131776 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6890 Brandywine Dr |
|---|---|
| City | Derby |
| State | New York (NY) |
| Post Code | 140479677 |
| Phone Number | 7169479141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 144399-1 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Carol Ann Gunnersen's 1629131776?
The Carol Ann Gunnersen's NPI (National Provider Identifier) Number is 1629131776. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carol Ann Gunnersen's physical address?
The Carol Ann Gunnersen is physically located at 6890 Brandywine Dr, in the city of Derby, NY, with the postal code 140479677.
What is the Carol Ann Gunnersen's specialty and taxonomy code?
The Carol Ann Gunnersen's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did Carol Ann Gunnersen receive its 1629131776 assignment from the Centers for Medicare & Medicaid Services?
The Carol Ann Gunnersen was assigned its 1629131776 on 2006-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Carol Ann Gunnersen's information last updated?
The Carol Ann Gunnersen's information was last updated on 2007-07-08.