MRS. CAROL ANN PHELAN R.N.
NPI 1689950115
Registered Nurse - School in Bay Shore, NY
Active since October 28, 2011
About Mrs. Carol Ann Phelan R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAROL ANN PHELAN R.N. (NPI 1689950115) is an individual school provider in Bay Shore, New York, licensed in New York (409281-1) and active in the NPI registry since October 2011.
NPPES Registry Identity
NPI1689950115
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMRS. CAROL ANN PHELANCredential: R.N.
Location Address45 BROOK AVEBay Shore, NY 11706-7416
Mailing Address45 Brook AveBay Shore, NY 11706-7416 · (631) 968-1133 · Fax (631) 968-1706
Phone(631) 968-1133
Fax(631) 968-1706
Sole ProprietorYes
Enumeration DateOctober 28, 2011
✔ NPI 1689950115 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in NY · 409281-1
45 BROOK AVE, Bay Shore, NY 11706
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689950115, enumerated as an "individual" on October 28, 2011.
The provider is located at 45 BROOK AVE BAY SHORE, NY 11706 and the phone number is (631) 968-1133.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
