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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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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