Provider Demographics
NPI:1376523787
Name:TOWERS, CAROLINE J (CRNP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:J
Last Name:TOWERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:DOBRENIECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:OLYPHANT
Mailing Address - State:PA
Mailing Address - Zip Code:18447
Mailing Address - Country:US
Mailing Address - Phone:570-383-3636
Mailing Address - Fax:570-383-3638
Practice Address - Street 1:221 RIVER ST
Practice Address - Street 2:
Practice Address - City:OLYPHANT
Practice Address - State:PA
Practice Address - Zip Code:18447
Practice Address - Country:US
Practice Address - Phone:570-383-3636
Practice Address - Fax:570-383-3638
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P57494Medicare UPIN
PA092900Medicare ID - Type Unspecified