Individual
CAROL P ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10330 NUVISTA AVE, WELLINGTON, FL 33414-9365
(561) 598-5449
Mailing address
10330 NUVISTA AVE, WELLINGTON, FL 33414-9365
(561) 445-4630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11005062
FL
Other
Enumeration date
11/13/2019
Last updated
07/08/2022
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