Provider Demographics
NPI:1457789158
Name:CAREY, RUTHANNE ELYSABETH (ANP)
Entity Type:Individual
Prefix:MRS
First Name:RUTHANNE
Middle Name:ELYSABETH
Last Name:CAREY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MRS
Other - First Name:RUTHANNE
Other - Middle Name:SMITH
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:300 COMMUNITY DR
Mailing Address - Street 2:PRE ADMISSION TESTING
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3816
Mailing Address - Country:US
Mailing Address - Phone:516-562-3722
Mailing Address - Fax:516-562-2159
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:PRE ADMISSION TESTING
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3816
Practice Address - Country:US
Practice Address - Phone:516-562-3722
Practice Address - Fax:516-562-2159
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306694363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health