MITZI SERENA CARREA FNP-C RN-NIC NPI 1114403003

NPI Information

  • NPI: 1114403003
  • Provider Name: MITZI SERENA CARREA, FNP-C, RN-NIC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 74 WHEELER RIDGE RD
    DUNLAP, TN
    ZIP 37327
  • Phone: (904) 652-9890

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NPI Details

Mitzi Serena Carrea, FNP-C, RN-NIC is a family nurse practitioner in Dunlap, TN with 8 years of experience. Mitzi Serena Carrea, FNP-C, RN-NIC NPI is 1114403003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

74 WHEELER RIDGE RD
DUNLAP, TN
ZIP 37327-792
Phone: (904) 652-9890

The NPI 1114403003 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2018 and was last updated on 7/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily24442TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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