Healthcare Provider Details

I. General information

NPI: 1073191458
Provider Name (Legal Business Name): CAROLINE ELIZABETH FLOREY APRN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 PEACHTREE RD NW
ATLANTA GA
30309-1281
US

IV. Provider business mailing address

1038 WINDING BRANCH CT
ATLANTA GA
30338-3940
US

V. Phone/Fax

Practice location:
  • Phone: 251-401-3618
  • Fax:
Mailing address:
  • Phone: 251-401-3618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN228685
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN228685
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: