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Individual

KRISTYN MICHELLE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 844-7315
(813) 844-8045
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9230597
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002369900
FL
01
Y04A1
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/06/2010
Last updated
09/22/2014
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