Provider Demographics
NPI:1679267017
Name:WILKINS, CARRIE A (RN)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:A
Last Name:WILKINS
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 1:39 HORNET RD
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-1017
Mailing Address - Country:US
Mailing Address - Phone:508-642-0155
Mailing Address - Fax:
Practice Address - Street 1:39 HORNET RD
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-1017
Practice Address - Country:US
Practice Address - Phone:508-642-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN216020163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management