Provider Demographics
NPI:1184730939
Name:PERRY, CAROLYN D (NP)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:D
Last Name:PERRY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:151 KNOLLCROFT RD
Mailing Address - Street 2:BUILDING 57
Mailing Address - City:LYONS
Mailing Address - State:NJ
Mailing Address - Zip Code:07939-5001
Mailing Address - Country:US
Mailing Address - Phone:908-647-0180
Mailing Address - Fax:908-604-5850
Practice Address - Street 1:151 KNOLLCROFT RD
Practice Address - Street 2:BUILDING 57
Practice Address - City:LYONS
Practice Address - State:NJ
Practice Address - Zip Code:07939-5001
Practice Address - Country:US
Practice Address - Phone:908-647-0180
Practice Address - Fax:908-604-5850
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NR07009500163W00000X
PARN273609L163W00000X
NJ26NN07009500363LG0600X
PASP003043H363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology