Provider Demographics
NPI:1861418600
Name:CAHN, CAROLYN CLAYTON (NP)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:CLAYTON
Last Name:CAHN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 N SAN ANTONIO RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1316
Mailing Address - Country:US
Mailing Address - Phone:805-681-5461
Mailing Address - Fax:805-681-5200
Practice Address - Street 1:931 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-2028
Practice Address - Country:US
Practice Address - Phone:805-560-1050
Practice Address - Fax:805-560-1051
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN202629163W00000X
CANP9194363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP9197OtherLICENSE NUMBER
CARN202629OtherRN LICENSE
CARN202629OtherRN LICENSE