Provider Demographics
NPI:1689921215
Name:ADRIANO, CARY ANNE (RN, BSN, CPAN)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:ANNE
Last Name:ADRIANO
Suffix:
Gender:F
Credentials:RN, BSN, CPAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N9299 STONE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-1920
Mailing Address - Country:US
Mailing Address - Phone:262-716-8664
Mailing Address - Fax:
Practice Address - Street 1:N9299 STONE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MUKWONAGO
Practice Address - State:WI
Practice Address - Zip Code:53149-1920
Practice Address - Country:US
Practice Address - Phone:262-716-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI200606163WH0200X, 163WC0200X
WI313843-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse