Provider Demographics
NPI:1851388375
Name:CAREY, COLLEEN (CNM)
Entity Type:Individual
Prefix:MISS
First Name:COLLEEN
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:
Other - Last Name:MORKAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:3260 PROVIDENCE DR STE 425
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4603
Mailing Address - Country:US
Mailing Address - Phone:907-561-7111
Mailing Address - Fax:907-770-7891
Practice Address - Street 1:3260 PROVIDENCE DR. STE. #425
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4603
Practice Address - Country:US
Practice Address - Phone:907-561-7111
Practice Address - Fax:907-770-7891
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK105176B00000X
AKAK105176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNP57421Medicaid
AKNM5704Medicaid
AKNP5742Medicaid
AKNP57421Medicaid
AK165046Medicare PIN
AKNM5704Medicaid
AK161568Medicare PIN