Provider Demographics
NPI:1477807790
Name:CAREY, TRICIA LYNN (ANP-BC)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:LYNN
Last Name:CAREY
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01038-9786
Mailing Address - Country:US
Mailing Address - Phone:413-527-7850
Mailing Address - Fax:877-642-6354
Practice Address - Street 1:20 HAMPTON AVE STE 150
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3804
Practice Address - Country:US
Practice Address - Phone:413-527-7850
Practice Address - Fax:877-642-6354
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN264722363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health