Doctor Name: | FELICIA CARNEVALE |
NPI Number: | 1003264201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 9311825 |
Business Practice Address: | 517 Riviera St Ste D Venice, FL - 342852827 |
Business Phone Number: | 9412449524 |
Business Fax Number: | 9412449526 |
Mailing Address: | 517 Riviera St Ste D, VENICE |
State: | FL |
Postal Code: | 342852827 |
Phone Number: | 9412449524 |
Fax Number: | 9412449526 |
NPI Enumeration Date: | 05/27/2016 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 9311825 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |