Rawdon, Carolyn A

Rawdon, Carolyn A is an individual health care provider with primary practice located at 8483 S Us Highway 1 Ste 19, Port St Lucie FL 34952-3360. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rawdon, Carolyn A can be contacted via phone (772) 873-1770.

Contact Information

Primary practice address
8483 S Us Highway 1 Ste 19 Port St Lucie FL 34952-3360
Phone: (772) 873-1770
Fax: (772) 873-1781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X ARNP9224424 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2009001192 Florida

Profile Details

NPI number 1487893343
LBN Legal business name Rawdon, Carolyn A
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2009
Last updated Mar 27th, 2017 - about 9 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 1487893343 NPPES
Florida Other P01111877 RR MCR
Florida MEDICAID 4658800 RR MCR

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