MEDICARE: MRS. BARBARA A. CARRIG RN, MSN, APN, C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	26NJ00152400	NJ

General Provider Information

NPI Number	:	1912309550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA A. CARRIG RN, MSN, APN, C

Provider Business Mailing Address
First Line	:	70 DEWEY AVE
Second Line	:
City	:	LITTLE FALLS
State	:	NJ
Zip	:	07424-1142
Country	:	US
Telephone Number	:	973-785-0434
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 DEWEY AVE
Second Line	:
City	:	LITTLE FALLS
State	:	NJ
Zip	:	07424-1142
Country	:	US
Telephone Number	:	973-785-0434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	09/25/2014

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