Individual
JUANITA CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
115 W SILVER ST, WESTFIELD, MA 01085-3628
(413) 568-2811
(610) 834-2862
Mailing address
1000 RIVER RD, SUITE 100, CONSHOHOCKEN, PA 19428-2439
(800) 355-0505
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN177561
MA
363LF0000X
Family Nurse Practitioner
8161
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700631
—
MA
01
—
500030036
RAILROAD MEDICARE
MA
Enumeration date
06/12/2006
Last updated
01/30/2020
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