Individual provider · Type 1 NPI
Carmen Lily Carrouche, RN, CNS, PMH-NP
Psychiatric/Mental Health Nurse Practitioner · San Rafael, CA
NPI number
1043451198
Active
Practice location
16 Ritter St
San Rafael, CA 94901-3323
Fax (415) 457-3490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 510142 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 23466 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043451198
Carmen Lily Carrouche, RN, CNS, PMH-NP's National Provider Identifier is 1043451198, issued on Mar 19, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Rafael, CA. The record was last updated on Nov 1, 2013.