Individual
BETHANY KAITLYN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-7000
Mailing address
9127 TARA CIR, MILTON, FL 32583-4150
(850) 816-9694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9470896
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11035285
FL
Other
Enumeration date
01/17/2023
Last updated
11/08/2024
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