Provider Demographics
NPI:1548516222
Name:EARLY, CAROLYN (RN/NP)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:EARLY
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN/NP
Mailing Address - Street 1:266 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7551
Mailing Address - Country:US
Mailing Address - Phone:617-302-4471
Mailing Address - Fax:
Practice Address - Street 1:275 SANDWICH ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2183
Practice Address - Country:US
Practice Address - Phone:508-746-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2270346363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily