Provider Demographics
NPI:1700184876
Name:DUERR, CAROL (RN)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:DUERR
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 1:2331 NORWAY RD
Mailing Address - Street 2:
Mailing Address - City:KENDALL
Mailing Address - State:NY
Mailing Address - Zip Code:14476-9602
Mailing Address - Country:US
Mailing Address - Phone:585-659-8404
Mailing Address - Fax:
Practice Address - Street 1:2331 NORWAY RD
Practice Address - Street 2:
Practice Address - City:KENDALL
Practice Address - State:NY
Practice Address - Zip Code:14476-9602
Practice Address - Country:US
Practice Address - Phone:585-659-8404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234343-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse