MISS CARLA J BERRY RN NPI 1124233804

NPI Information

NPI: 1124233804
Provider Name: MISS CARLA J BERRY, RN
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
520 NORTH CHESTNUT STREET
RAVENNA, OH
ZIP 44266
Phone: (330) 296-5552
Get Directions

MISS Carla J Berry, RN is a psychiatric/mental health and child and adolescent registered nurse in Ravenna, OH. MISS Carla J Berry, RN NPI is 1124233804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 NORTH CHESTNUT STREET
RAVENNA, OH
ZIP 44266-218
Phone: (330) 296-5552
Fax: (330) 296-6126

The enumeration date for this NPI number is 5/14/2007 and was last updated on 2/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	186871	OHIO	No
2	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	RN.186871	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0210038	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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