Individual
MISS CARLA J BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
10262 MYERS RD, KENSINGTON, OH 44427-9726
(330) 704-8513
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
186871
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN.186871
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210038
—
OH
Enumeration date
05/14/2007
Last updated
03/13/2025
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