Provider Demographics
NPI:1043924269
Name:CARTY, CIARA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:
Last Name:CARTY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24223 GREEN TERRACE WAY
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-6145
Mailing Address - Country:US
Mailing Address - Phone:605-321-9340
Mailing Address - Fax:
Practice Address - Street 1:24223 GREEN TERRACE WAY
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-6145
Practice Address - Country:US
Practice Address - Phone:605-321-9340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2481879163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse