Doctor Name: | KAREN EMMA MIGNONE FERRIS |
NPI Number: | 1013256387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2695152 |
Business Practice Address: | 1921 Waldemere St Ste 705 Sarasota, FL - 342392943 |
Business Phone Number: | 9413665864 |
Business Fax Number: | 9413169819 |
Mailing Address: | 1921 Waldemere St, Ste 705 SARASOTA |
State: | FL |
Postal Code: | 342392943 |
Phone Number: | 9413665864 |
Fax Number: | 9413169819 |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP2695152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |