Healthcare Provider Details

I. General information

NPI: 1588146682
Provider Name (Legal Business Name): CARRIE TOVEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 09/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 W MAHONING ST
PUNXSUTAWNEY PA
15767-1909
US

IV. Provider business mailing address

190 W PARK AVE STE 9
DU BOIS PA
15801-2277
US

V. Phone/Fax

Practice location:
  • Phone: 814-952-5464
  • Fax: 814-503-8568
Mailing address:
  • Phone: 814-371-1900
  • Fax: 814-503-8568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN547418
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: