Carpenter, Marva Grace

Carpenter, Marva Grace is an sole proprietor health care provider with primary practice located at 3387 S Jog Rd Ste 103 , Greenacres FL 33467-2010. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Carpenter, Marva Grace can be contacted via phone (561) 781-8090.

Contact Information

Primary practice address
3387 S Jog Rd Ste 103 Greenacres FL 33467-2010
Phone: (561) 781-8090
Fax: (561) 781-8099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X APRN11008625 Florida
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11008625 Florida

Profile Details

NPI number 1790393205
LBN Legal business name Carpenter, Marva Grace
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2020
Last updated Feb 28th, 2023 - about 2 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 1790393205 NPPES
Florida MEDICAID 110079200

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