Provider Demographics
NPI:1609049386
Name:LENIHAN, CARRIE A (RN)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:A
Last Name:LENIHAN
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 1:5757 CHIDDINGSTONE LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7049
Mailing Address - Country:US
Mailing Address - Phone:614-891-7288
Mailing Address - Fax:
Practice Address - Street 1:5757 CHIDDINGSTONE LN
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7049
Practice Address - Country:US
Practice Address - Phone:614-891-7288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH277314163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse