Doctor Name: | CAROL L LIVELLI |
NPI Number: | 1013107994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | NP18734 |
Business Practice Address: | 14430 Us Highway 1 Suite 101 Sebastian, FL - 329583289 |
Business Phone Number: | 7725810478 |
Business Fax Number: | |
Mailing Address: | 14430 Us Highway 1, Suite 101 SEBASTIAN |
State: | FL |
Postal Code: | 329583289 |
Phone Number: | 7725810478 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2007 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | NP18734 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |