Terry Kay Carney, LPN

Individual provider Active NPI Licensed Practical Nurse · Arena, WI

NPI 1134483712 · NPPES record last updated Jun 28, 2012

Key facts

NPI
1134483712
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
315269 (WI)
Practice address
6879 Amacher Hollow Rd
Arena, WI 53503
Phone
(608) 212-2311
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
315269WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 315269 WI Yes

Addresses

Primary practice location

6879 Amacher Hollow Rd
Arena, WI 53503

Mailing address

6879 Amacher Hollow Rd.
Arena, WI 53503
Phone (608) 212-2311

Other providers in Arena, WI

All providers in Arena, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.