Provider Demographics
NPI:1447469010
Name:CARY, VERA ELLEN
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:ELLEN
Last Name:CARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 7TH ST E APT 305
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2375
Mailing Address - Country:US
Mailing Address - Phone:651-239-9592
Mailing Address - Fax:
Practice Address - Street 1:218 7TH ST E APT 305
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2375
Practice Address - Country:US
Practice Address - Phone:651-239-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant