Provider Demographics
NPI:1417129743
Name:ALBRIGHT, CARLA ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:ANN
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 20TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-8613
Mailing Address - Country:US
Mailing Address - Phone:816-896-8101
Mailing Address - Fax:816-761-3157
Practice Address - Street 1:4200 E 135TH ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-2875
Practice Address - Country:US
Practice Address - Phone:816-765-2000
Practice Address - Fax:816-761-3157
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002016031163WH1000X, 163WX0106X
IL163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice