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NPI Code Detail

MEDICARE: CAROLYN MARIE CASE ARNP

MEDICARE:   CAROLYN MARIE CASE  ARNP
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 PractitionerF333935NY
2363LP0808XPsychiatric/Mental Health Nurse PractitionerF401127NY
3363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP9276826FL

General Provider Information

NPI Number : 1073583837
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN MARIE CASE ARNP
Provider Business Mailing Address
First Line : 580 WHITE PLAINS RD STE 510
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5152
Country : US
Telephone Number : 914-345-5900
Fax Number :
Provider Business Practice Location Address
First Line : 5454 LENA RD
Second Line : SUITE 106
City : BRADENTON
State : FL
Zip : 34211-9499
Country : US
Telephone Number : 941-900-1111
Fax Number : 941-201-4856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 05/20/2020

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