Provider Demographics
NPI:1710433784
Name:CARON, AMY (RNFA FIRST ASSIST)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:CARON
Suffix:
Gender:F
Credentials:RNFA FIRST ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-4630
Mailing Address - Country:US
Mailing Address - Phone:716-949-3948
Mailing Address - Fax:
Practice Address - Street 1:567 LOCUST ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-4630
Practice Address - Country:US
Practice Address - Phone:716-949-3948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY552400163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant