Provider Demographics
NPI:1124729850
Name:HANSLIK, CARLEE (RN)
Entity type:Individual
Prefix:
First Name:CARLEE
Middle Name:
Last Name:HANSLIK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 TOZER RD APT TH2
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1050
Mailing Address - Country:US
Mailing Address - Phone:508-320-8230
Mailing Address - Fax:
Practice Address - Street 1:6 TOZER RD APT TH2
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1050
Practice Address - Country:US
Practice Address - Phone:508-320-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2350091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse