Individual
MRS. CAROLYN A RAWDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8483 S US HIGHWAY 1, STE 19, PORT ST LUCIE, FL 34952-3360
(772) 873-1770
(772) 873-1781
Mailing address
8483 S US HIGHWAY 1, STE 19, PORT ST LUCIE, FL 34952-3360
(772) 873-1770
(772) 873-1781
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
ARNP9224424
FL
363LF0000X
Family Nurse Practitioner
Primary
2009001192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4658800
—
FL
01
—
P01111877
RR MCR
FL
Enumeration date
02/16/2009
Last updated
03/27/2017
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