Individual
CAROL TAYLOR EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1705 MAHAN DR., TALLAHASSEE, FL 32308
(850) 877-7164
(850) 877-1886
Mailing address
1705 MAHAN DR, TALLAHASSEE, FL 32308-5201
(850) 877-7164
(850) 877-1886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP1577642
FL
247100000X
Radiologic Technologist
BMO52400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307773000
—
FL
Enumeration date
04/18/2006
Last updated
05/05/2015
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