Carrouche, Carmen Lily
Carrouche, Carmen Lily is an sole proprietor health care provider with primary practice located at 16 Ritter St , San Rafael CA 94901-3323. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Carrouche, Carmen Lily can be contacted via phone (415) 457-8182.Contact Information
Primary practice address
16 Ritter St
San Rafael CA 94901-3323
Phone: (415) 457-8182
Fax: (415) 457-3490
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 510142 | California |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 23466 | California |
Profile Details
NPI number | 1043451198 |
---|---|
LBN Legal business name | Carrouche, Carmen Lily |
Credentials | RN, CNS, PMH-NP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 19th, 2009 |
Last updated | Nov 1st, 2013 - about 12 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.
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