Provider Demographics
NPI:1184352205
Name:CAREY, ZELLA ANN (MSN, CRNP)
Entity type:Individual
Prefix:
First Name:ZELLA
Middle Name:ANN
Last Name:CAREY
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1724
Mailing Address - Country:US
Mailing Address - Phone:844-456-5433
Mailing Address - Fax:814-456-0383
Practice Address - Street 1:121 W 12TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1724
Practice Address - Country:US
Practice Address - Phone:844-456-5433
Practice Address - Fax:814-456-0383
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN753691163WG0600X
PASP026239363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0600XNursing Service ProvidersRegistered NurseGerontology