Provider Demographics
NPI:1659974715
Name:HIMANEN, CAREN (RN, PSYCH ASSIST)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:
Last Name:HIMANEN
Suffix:
Gender:F
Credentials:RN, PSYCH ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 W BEACH ST
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-5140
Mailing Address - Country:US
Mailing Address - Phone:831-724-9100
Mailing Address - Fax:
Practice Address - Street 1:680 W BEACH ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-5140
Practice Address - Country:US
Practice Address - Phone:831-724-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA526723163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse