Carey Lee Vanzandt, RN
Individual provider Active NPI Registered Nurse · Naples, NY
NPI 1659643294 · NPPES record last updated Jan 28, 2012
Key facts
- NPI
- 1659643294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 467759 (NY)
- Practice address
- 6446 State Route 21
Naples, NY 14512-9776 - Phone
- (585) 374-8077
- NPI assigned
- Jan 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 467759 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 467759 | NY | Yes |
Addresses
Primary practice location
6446 State Route 21
Naples, NY 14512-9776
Mailing address
6446 State Route 21
Naples, NY 14512-9776
Phone (585) 374-8077
Other providers in Naples, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.