Provider Demographics
NPI:1518061910
Name:CAREY, MARIA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:CAREY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 PROSPECT STREET
Mailing Address - Street 2:NANTUCKET COTTAGE HOSPITAL
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554
Mailing Address - Country:US
Mailing Address - Phone:508-454-2788
Mailing Address - Fax:
Practice Address - Street 1:57 PROSPECT STREET
Practice Address - Street 2:NANTUCKET COTTAGE HOSPITAL
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554
Practice Address - Country:US
Practice Address - Phone:508-825-8270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA742363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS26595Medicare UPIN