Berry, Carrie
Berry, Carrie is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berry, Carrie can be contacted via phone (319) 272-4300.Contact Information
Primary practice address
905 Franklin St
Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax: (319) 272-4411
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A-106843 | Iowa |
Profile Details
NPI number | 1831109107 |
---|---|
LBN Legal business name | Berry, Carrie |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Apr 30th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831109107 | NPPES |
Iowa | MEDICAID | 0076372 | |
Iowa | Other | 27336 |
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