Basic Information
| Provider Information | |||||||||
| NPI: | 1528357084 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEPROHON | ||||||||
| FirstName: | CAROL | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 94 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HYANNIS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026013146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087719599 | ||||||||
| FaxNumber: | 5087711208 | ||||||||
| Practice Location | |||||||||
| Address1: | 94 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HYANNIS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026013146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087719599 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2011 | ||||||||
| LastUpdateDate: | 12/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R058308 | ME | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN2328654 | MA | N | Nursing Service Providers | Registered Nurse | 363LP0808X | RN2328654 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.