Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9311825 | FL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | ARNP9311825 | FL |
NPI | 1003264201 |
---|---|
Provider Name | Felicia Carnevale |
First Address | Venice, FL 34285-2827 |
Second Address | Venice, FL 34285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2016 |
Last Update Date | 26/07/2018 |