Organization
CARATIVE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CYRONAK MSN, APRN, FNP-C, PM (OWNER)
(843) 474-5578
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(843) 474-5578
(843) 790-1871
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(843) 474-5578
(843) 790-1857
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601542919
MAGELLAN
—
01
—
6211141
AETNA
—
01
—
LYI4L
BCBS
FL
Enumeration date
12/20/2020
Last updated
09/25/2023
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