Individual
PHYLLIS CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
801 6TH ST S, ST PETERSBURG, FL 33701-4816
(727) 767-4871
Mailing address
505 RICHARDS AVE, CLEARWATER, FL 33755-5832
(727) 298-0650
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP427992
FL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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