Individual
CARLA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5278 SE CHANNEL DR, STUART, FL 34997-3327
(772) 200-7849
Mailing address
5278 SE CHANNEL DR, STUART, FL 34997-3327
(772) 200-7849
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
20-312757
FL
246R00000X
Pathology Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-312757
IV THERAPY CERTIFICATION
FL
Enumeration date
02/15/2023
Last updated
02/15/2023
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