Individual
YANEIDY ISABEL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
380 RINEHART RD, LAKE MARY, FL 32746-2551
(321) 843-2100
(321) 842-3498
Mailing address
380 RINEHART RD, LAKE MARY, FL 32746-2551
(321) 843-2100
(321) 842-3498
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11035476
FL
363LF0000X
Family Nurse Practitioner
11035476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124165000
—
FL
Enumeration date
08/05/2024
Last updated
11/06/2025
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