# CAROL BRICKEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114087780
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4996P | KY | — |
| 363L00000X | Nurse Practitioner | APRN83001-FNP-BC | WV | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 11/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000599769 | ANTHEM | KS |
| 05 | — | 2705264 | — | OH |
| 05 | — | 3810007722 | — | WV |
| 05 | — | 7100000490 | — | KY |