MEDICARE: CYNTHIA CARANTA APRN, ACNP-BC

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
1	363L00000X	Nurse Practitioner	APRN9390066	FL
2	363LF0000X	Family Nurse Practitioner	APRN9390066	FL
3	363LA2100X	Acute Care Nurse Practitioner	CNP-02061	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	266022YKR1	OTHER	NM	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1952653180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA CARANTA APRN, ACNP-BC

Provider Business Mailing Address
First Line	:	4351 E LOHMAN AVE STE 202
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8260
Country	:	US
Telephone Number	:	575-521-8860
Fax Number	:	575-522-5664

Provider Business Practice Location Address
First Line	:	915 W MONROE ST STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-1177
Country	:	US
Telephone Number	:	904-384-2240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2012
Last Update Date	:	02/13/2026

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Directions to “ CYNTHIA CARANTA APRN, ACNP-BC” Practice Location

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