Space, Carolyn Ann

Space, Carolyn Ann is an individual health care provider with primary practice located at 96 Mdg 307 Boatner Road, Eglin FL 32542. 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. Space, Carolyn Ann can be contacted via phone (850) 883-9957.

Contact Information

Primary practice address
96 Mdg 307 Boatner Road Eglin FL 32542
Phone: (850) 883-9957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9457268 Florida

Profile Details

NPI number 1336553585
LBN Legal business name Space, Carolyn Ann
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2014
Last updated Sep 24th, 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.

Request for update

Popular Providers