Andersen, Carol Keenan
Andersen, Carol Keenan is an sole proprietor health care provider with primary practice located at 122 Serenade Ln , Panama City Beach FL 32413-1351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Andersen, Carol Keenan can be contacted via phone (850) 319-3770.Contact Information
Primary practice address
122 Serenade Ln
Panama City Beach FL 32413-1351
Phone: (850) 319-3770
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 813072 | Florida |
Profile Details
NPI number | 1093747768 |
---|---|
LBN Legal business name | Andersen, Carol Keenan |
Credentials | ARNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2006 |
Last updated | Oct 3rd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093747768 | NPPES |
Florida | Other | F0305272 | AM ACAD NURSEPRACTITIONES |
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