Provider Demographics
NPI:1891117255
Name:QUIGLEY, CAROLYN (RN)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:QUIGLEY
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 1:55 MICHELLE DR
Mailing Address - Street 2:APT B2
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-6756
Mailing Address - Country:US
Mailing Address - Phone:513-258-1870
Mailing Address - Fax:717-283-4474
Practice Address - Street 1:55 MICHELLE DR
Practice Address - Street 2:APT B2
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-6756
Practice Address - Country:US
Practice Address - Phone:513-258-1870
Practice Address - Fax:717-283-4474
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN612463163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse