Provider Demographics
NPI:1295019537
Name:CARMANY, CONSTANCE L (FNP-C)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:L
Last Name:CARMANY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26500 STATE ROUTE 58
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-9220
Mailing Address - Country:US
Mailing Address - Phone:440-647-4847
Mailing Address - Fax:
Practice Address - Street 1:26500 STATE ROUTE 58
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-9220
Practice Address - Country:US
Practice Address - Phone:440-647-4847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.12771-NP363LF0000X
OHRN-143171163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse