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
Entity Type: Individual

Specialization: Family

Address:
74 WHEELER RIDGE RD
DUNLAP, TN
ZIP 37327
Phone: (904) 652-9890
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Mitzi Serena Carrea, FNP-C, RN-NIC is a family nurse practitioner in Dunlap, TN. 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.

The provider's business location address is:

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

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
1	363LF0000X	Nurse Practitioner	Family	24442	TENNESSEE	Yes

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: 5/5/2024

NPI Synchronization or Removal

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