Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 49117 | MN |
N | 111NI0900X | Internist | 49117 | MN |
N | 207RG0300X | Geriatric Medicine | A71842 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | 49117 | MN |
N | 207RH0002X | Hospice and Palliative Medicine | A71842 | CA |
NPI | 1174588123 |
---|---|
Provider Name | Dr. Elise C Carey |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 12/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I73724 | (02) |