Staton, Carrie Lynn

Staton, Carrie Lynn is an individual health care provider with primary practice located at 10507 Spring Hill Dr , Spring Hill FL 34608-5047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Staton, Carrie Lynn can be contacted via phone (352) 688-0401.

Contact Information

Primary practice address
10507 Spring Hill Dr Spring Hill FL 34608-5047
Fax: (352) 688-0404
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP861942 Florida

Profile Details

NPI number 1982649703
LBN Legal business name Staton, Carrie Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 27th, 2011 - about 13 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 1982649703 NPPES
Other Y011C BCBS
MEDICAID 306357700 BCBS

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