Basic Information
| Provider Information | |||||||||
| NPI: | 1861418600 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAHN | ||||||||
| FirstName: | CAROLYN | ||||||||
| MiddleName: | CLAYTON | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 N SAN ANTONIO RD | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056815461 | ||||||||
| FaxNumber: | 8056815200 | ||||||||
| Practice Location | |||||||||
| Address1: | 931 WALNUT AVE | ||||||||
| Address2: | |||||||||
| City: | CARPINTERIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930132028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055601050 | ||||||||
| FaxNumber: | 8055601051 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2006 | ||||||||
| LastUpdateDate: | 03/14/2013 | ||||||||
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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 | RN202629 | CA | N | Nursing Service Providers | Registered Nurse | 363L00000X | NP9194 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | NP9197 | 01 | CA | LICENSE NUMBER | OTHER | RN202629 | 01 | CA | RN LICENSE | OTHER |