Individual
PENELOPE LINDA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
907 MAR WALT DR, FORT WALTON BEACH, FL 32547-6960
(850) 863-0006
Mailing address
907 MAR WALT DR, SUITE 2021, FORT WALTON BEACH, FL 32547-6960
(850) 863-0006
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP1514312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033400600
—
FL
Enumeration date
03/30/2006
Last updated
12/20/2011
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