Grubb, Carrie L

Grubb, Carrie L is an individual health care provider with primary practice located at 1921 Waldemere St 307, Sarasota FL 34239-2943. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Grubb, Carrie L can be contacted via phone (941) 917-8561.

Contact Information

Primary practice address
1921 Waldemere St 307 Sarasota FL 34239-2943
Phone: (941) 917-8561
Fax: (941) 917-8566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP2081032 Florida

Profile Details

NPI number 1669462727
LBN Legal business name Grubb, Carrie L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Feb 19th, 2018 - about 6 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 1669462727 NPPES
Florida Other Y01EU BCBS
Florida MEDICAID 305482900 BCBS

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