Provider Demographics
NPI:1033733597
Name:DUNCAN, CAROLYN FAY (LVN)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:FAY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 KNOLL LN APT 703
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4300
Mailing Address - Country:US
Mailing Address - Phone:682-217-8324
Mailing Address - Fax:
Practice Address - Street 1:302 KNOLL LN APT 703
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4300
Practice Address - Country:US
Practice Address - Phone:682-217-8324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX313514164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse