Provider Demographics
NPI:1437550852
Name:HUTHER, CARRIE MARIE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:CARRIE
Middle Name:MARIE
Last Name:HUTHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-1467
Mailing Address - Country:US
Mailing Address - Phone:585-746-4280
Mailing Address - Fax:585-671-4024
Practice Address - Street 1:261 PRINCETON RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-1467
Practice Address - Country:US
Practice Address - Phone:585-746-4280
Practice Address - Fax:585-671-4024
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312435164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse