Individual
MRS. CAROLYNN SUZANNE STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
3496 NW FEDERAL HWY STE F, JENSEN BEACH, FL 34957-4441
(772) 223-5945
(772) 223-2887
Mailing address
3496 NW FEDERAL HWY STE F, JENSEN BEACH, FL 34957-4441
(772) 223-5945
(772) 223-2887
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
9317201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21310376
CERTIFIED DIABETES EDUCATOR
—
01
—
RN9317201
REGISTERED NURSE
FL
Enumeration date
01/18/2018
Last updated
01/18/2018
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