Provider Demographics
NPI:1477801819
Name:COX, CARLA JEAN (RN)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:JEAN
Last Name:COX
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 1:2305 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:14486-9713
Mailing Address - Country:US
Mailing Address - Phone:585-245-2747
Mailing Address - Fax:
Practice Address - Street 1:2305 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NY
Practice Address - Zip Code:14486-9713
Practice Address - Country:US
Practice Address - Phone:585-245-2747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299070163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health