Provider Demographics
NPI:1346773785
Name:D. CARNEY, RNFA LLC
Entity Type:Organization
Organization Name:D. CARNEY, RNFA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:732-547-0026
Mailing Address - Street 1:PO BOX 7432
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8440
Mailing Address - Country:US
Mailing Address - Phone:732-547-0026
Mailing Address - Fax:
Practice Address - Street 1:995 ROUTE 33
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8440
Practice Address - Country:US
Practice Address - Phone:732-547-0026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10665900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty