Individual
MS. CARLA PATRICE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6393
Mailing address
11908 NW 136TH ST, ALACHUA, FL 32615-6549
(352) 682-4649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 1262352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027954400
—
FL
Enumeration date
08/12/2013
Last updated
08/16/2013
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