Provider Demographics
NPI:1780854638
Name:CAREY, JUDITH JANINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:JANINE
Last Name:CAREY
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 1:100 RIVER BEND RD
Mailing Address - Street 2:#44
Mailing Address - City:REEDSPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97467-1387
Mailing Address - Country:US
Mailing Address - Phone:541-271-2404
Mailing Address - Fax:541-271-2404
Practice Address - Street 1:100 RIVER BEND RD
Practice Address - Street 2:#44
Practice Address - City:REEDSPORT
Practice Address - State:OR
Practice Address - Zip Code:97467-1387
Practice Address - Country:US
Practice Address - Phone:541-271-2404
Practice Address - Fax:541-271-2404
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health