Individual
MARA DAWNE CARSON
Active
Individual
MARA DAWNE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11035299
FL
363LA2100X
Acute Care Nurse Practitioner
259985
AZ
363LA2100X
Acute Care Nurse Practitioner
RN259811
ID
363LG0600X
Gerontology Nurse Practitioner
RN259811
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092948
—
AZ
Enumeration date
11/21/2019
Last updated
02/03/2025
Update your record
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