Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID CARR
Active Sole ProprietorDAVID CARR is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LA SALLE, Illinois. NPI 1417614181 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LA SALLE, IL
Registration Details
- NPI Number
- 1417614181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2021 (4.7877228423493 yrs)
- Last Updated
- Dec 3, 2024
- Licenses
-
2022013042 (OH)RN.430412 (OH)209027877 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2960 CHARTRES STLA SALLE, IL, 613011031Browse IL providers · Browse ZIP 61301
- Phone
- 8152241610
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Nurse Anesthetist, Certified
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.