David Carrino

Individual provider Active NPI Licensed Practical Nurse · Miami, OK

NPI 1831611441 · NPPES record last updated Jul 14, 2017

Key facts

NPI
1831611441
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
U081066470 (OK)
Practice address
203 2ND Ave SW
Miami, OK 74354-6818
Phone
(918) 542-6412
NPI assigned
Jul 14, 2017
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
U081066470OKMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X U081066470 OK Yes

Addresses

Primary practice location

203 2ND Ave SW
Miami, OK 74354-6818

Mailing address

203 2ND Ave SW
Miami, OK 74354-6818

Other providers in Miami, OK

All providers in Miami, OK · Licensed Practical Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.