Wirick, Carly Rose

Wirick, Carly Rose is an individual health care provider with primary practice located at 305 W Jackson St Ste 103 , Carbondale IL 62901-1474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wirick, Carly Rose can be contacted via phone (618) 351-4972.

Contact Information

Primary practice address
305 W Jackson St Ste 103 Carbondale IL 62901-1474
Phone: (618) 351-4972
Fax: (618) 351-6522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209033191 Illinois

Profile Details

NPI number 1760871099
LBN Legal business name Wirick, Carly Rose
Credentials RN, APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2015
Last updated Dec 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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