Provider Demographics
NPI:1194902056
Name:CAIRNS, CAROL ANN (NP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:CAIRNS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1214
Mailing Address - Country:US
Mailing Address - Phone:419-423-5221
Mailing Address - Fax:419-423-5143
Practice Address - Street 1:1900 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1214
Practice Address - Country:US
Practice Address - Phone:419-423-5221
Practice Address - Fax:419-423-5143
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11468363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
2007009753OtherANCC ACUTE CARE NURSE PRACTITIONER CERTIFICATION
IN28105922AOtherINDIANA STATE LICENSE
OHRN162302OtherOHIO STATE LICENSE
OH11468OtherOHIO NURSE PRACTITIONER
MC2163436OtherDEA