Doctor Name: | ADA MARIA CARR |
NPI Number: | 1518210970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9342368 |
Business Practice Address: | 3044 W New Haven Ave West Melbourne, FL - 329043566 |
Business Phone Number: | 3216228626 |
Business Fax Number: | 3216228627 |
Mailing Address: | 3044 W New Haven Ave, WEST MELBOURNE |
State: | FL |
Postal Code: | 329043566 |
Phone Number: | 3216228626 |
Fax Number: | 3216228627 |
NPI Enumeration Date: | 10/23/2012 |
NPI Last Update Date: | 10/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP9342368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |