Provider Demographics
NPI:1154998979
Name:VORST, CARRIE (RN)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:
Last Name:VORST
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 1:9699 ROAD M8
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-9562
Mailing Address - Country:US
Mailing Address - Phone:419-523-4092
Mailing Address - Fax:
Practice Address - Street 1:9699 ROAD M8
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875-9562
Practice Address - Country:US
Practice Address - Phone:419-523-4092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN329877364SL0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care