Individual
CARLA FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(561) 366-4100
(561) 366-4189
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9359211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010747500
—
FL
Enumeration date
12/02/2013
Last updated
11/15/2022
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