Individual
MS. CARRIE LYNN STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10507 SPRING HILL DR, SPRING HILL, FL 34608-5047
(352) 688-0401
(352) 688-0404
Mailing address
10507 SPRING HILL DR, SPRING HILL, FL 34608-5047
(352) 688-0401
(352) 688-0404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP861942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306357700
—
FL
01
—
Y011C
BCBS
—
Enumeration date
06/17/2006
Last updated
11/27/2011
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