Individual
CARLINE DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9800 4TH ST N STE 200, SAINT PETERSBURG, FL 33702-2462
(727) 201-5470
Mailing address
9800 4TH ST N STE 200, SAINT PETERSBURG, FL 33702-2462
(727) 201-5470
(727) 914-0172
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11002780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019035526
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
06/17/2019
Last updated
11/02/2021
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