Individual
DR. NANCY ANN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10201 ARCOS AVE STE 103, ESTERO, FL 33928-9460
(239) 399-8019
(239) 984-8965
Mailing address
10201 ARCOS AVE STE 103, ESTERO, FL 33928-9460
(239) 399-8019
(239) 984-8965
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0420008079
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003045
—
VT
Enumeration date
05/04/2006
Last updated
07/31/2021
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