Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CAROL SUE FAIRLESS, RN
ActiveMS. CAROL SUE FAIRLESS, RN is a Child & Adolescent Psychiatric Nurse healthcare provider located in VIENNA, Illinois. NPI 1619080082 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · VIENNA, IL
Registration Details
- NPI Number
- 1619080082
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2006 (20.02349667949 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
408 E VINE STVIENNA, IL, 629951612Browse IL providers · Browse ZIP 62995
- Phone
- 6186582611
- Fax
- 6186582501
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
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.