Kralicek, Carrie Ann

Kralicek, Carrie Ann is an individual health care provider with primary practice located at 153 N Broadway , Coos Bay OR 97420-1633. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kralicek, Carrie Ann can be contacted via phone (541) 808-9599.

Contact Information

Primary practice address
153 N Broadway Coos Bay OR 97420-1633
Phone: (541) 808-9599
Fax: (541) 808-9559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X IP60386649 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201401811NP-PP Oregon

Profile Details

NPI number 1164860383
LBN Legal business name Kralicek, Carrie Ann
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2013
Last updated Aug 9th, 2016 - about 8 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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