Provider Demographics
NPI:1972074169
Name:THURMAN, CAREY
Entity Type:Individual
Prefix:MRS
First Name:CAREY
Middle Name:
Last Name:THURMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9923 MENDEL DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-5030
Mailing Address - Country:US
Mailing Address - Phone:727-848-8161
Mailing Address - Fax:727-232-6138
Practice Address - Street 1:9923 MENDEL DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-5030
Practice Address - Country:US
Practice Address - Phone:727-848-8161
Practice Address - Fax:727-232-6138
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant