Individual
CARLA MUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
304 EDWARD AVE, LEHIGH ACRES, FL 33936-1626
(412) 491-1827
Mailing address
304 EDWARD AVE, LEHIGH ACRES, FL 33936-1626
(412) 491-1827
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11020946
FL
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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