Individual
CAROL KEENAN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
122 SERENADE LN, PANAMA CITY BEACH, FL 32413-1351
(850) 319-3770
Mailing address
122 SERENADE LN, PANAMA CITY BEACH, FL 32413-1351
(850) 319-3770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
813072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0305272
AM ACAD NURSEPRACTITIONES
FL
Enumeration date
07/06/2006
Last updated
10/03/2011
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