Healthcare Provider Details

I. General information

NPI: 1841693595
Provider Name (Legal Business Name): CARLINA L. WHITE-YOUSSOUF APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2014
Last Update Date: 10/27/2026
Certification Date: 10/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11565 US HIGHWAY 301 N
PARRISH FL
34219-8497
US

IV. Provider business mailing address

5123 4TH AVENUE CIR E
BRADENTON FL
34208-5620
US

V. Phone/Fax

Practice location:
  • Phone: 941-744-5510
  • Fax: 941-744-5166
Mailing address:
  • Phone: 941-744-5510
  • Fax: 941-744-5166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN9187035
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9187035
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9187035
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: