Individual
CAROL J CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
412 MOONINGS COVE DRIVE, TARPON, FL 34689
(727) 946-0956
Mailing address
412 MOONINGS COVE DRIVE, TARPON, FL 34689
(727) 946-0956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26564
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26564
STATE OF ALASKA
AK
Enumeration date
05/02/2011
Last updated
05/02/2011
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