Individual provider · Type 1 NPI
Sallyjoe Carr
Licensed Practical Nurse · Chugiak, AK
NPI number
1205201753
Active
Practice location
19209 Kullberg Dr
Chugiak, AK 99567-6380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 5404 (AK) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1205201753
Sallyjoe Carr's National Provider Identifier is 1205201753, issued on Dec 9, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chugiak, AK. The record was last updated on Dec 9, 2015.