Individual
CAROLYN ELAINE AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
302 BRYAN RD, BRANDON, FL 33511-5337
(813) 681-7512
(813) 681-7512
Mailing address
302 BRYAN RD, BRANDON, FL 33511-5337
(813) 681-7512
(813) 684-8974
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3335702
FL
Other
Enumeration date
02/11/2010
Last updated
05/16/2016
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