Carnesella, Deidra Ann

Carnesella, Deidra Ann is an individual health care provider with primary practice located at 86 W Copeland Dr 1St Fl, Orlando FL 32806-2002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Carnesella, Deidra Ann can be contacted via phone (321) 841-5281.

Contact Information

Primary practice address
86 W Copeland Dr 1St Fl Orlando FL 32806-2002
Phone: (321) 841-5281
Fax: (407) 648-9879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2685062 Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN2685062 Florida

Profile Details

NPI number 1346470317
LBN Legal business name Carnesella, Deidra Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Nov 4th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346470317 NPPES
Florida Other ARNP2685062 STATE LICENSE NUMBER

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