Provider Demographics
NPI:1457857674
Name:ALBRIKES, CAROL ANN (LVN)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:ALBRIKES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:LONERGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:105 PATS CT
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-7782
Mailing Address - Country:US
Mailing Address - Phone:203-887-7927
Mailing Address - Fax:
Practice Address - Street 1:105 PATS CT
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-7782
Practice Address - Country:US
Practice Address - Phone:203-887-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314943164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse