Healthcare Provider Details

I. General information

NPI: 1811158314
Provider Name (Legal Business Name): KAREN CAREY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2008
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 E MAIN RD SUITE 301
MIDDLETOWN RI
02842-7263
US

IV. Provider business mailing address

438 E MAIN RD SUITE 301
MIDDLETOWN RI
02842-7263
US

V. Phone/Fax

Practice location:
  • Phone: 401-847-0960
  • Fax: 401-845-9618
Mailing address:
  • Phone: 401-847-0960
  • Fax: 401-845-9618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN35105
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: