Individual
CAROLINE THERESA CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1142 7TH ST N, SAINT PETERSBURG, FL 33701-1506
(727) 898-1105
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2927022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305651100
—
FL
Enumeration date
07/24/2006
Last updated
06/29/2020
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