Individual
MS. DEIDRA ANN CARNESELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
86 W COPELAND DR, 1ST FL, ORLANDO, FL 32806-2002
(321) 841-5281
(407) 648-9879
Mailing address
86 W COPELAND DR, 1ST FL, ORLANDO, FL 32806-2002
(321) 841-5281
(407) 648-9879
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2685062
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN2685062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP2685062
STATE LICENSE NUMBER
FL
Enumeration date
07/23/2009
Last updated
11/04/2021
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