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NPI Code Detail

MEDICARE: MISS CAROL KAY BIERY A.R.N.P.

MEDICARE:  MISS CAROL KAY BIERY  A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP739162FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083631741
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CAROL KAY BIERY A.R.N.P.
Provider Business Mailing Address
First Line : 6101 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4616
Country : US
Telephone Number : 407-858-1400
Fax Number : 407-858-5523
Provider Business Practice Location Address
First Line : 5730 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-4366
Country : US
Telephone Number : 407-207-7590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 12/19/2012

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Directions to “ MISS CAROL KAY BIERY A.R.N.P.” Practice Location

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