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NPI Code Detail

MEDICARE: CARA LEE PAPPAS ND ACNP FNP

MEDICARE: CARA LEE PAPPAS ND ACNP FNP
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
1363L00000XNurse Practitioner16957CA
2363L00000XNurse PractitionerAPN1879SC
3363LF0000XFamily Nurse Practitioner9319191FL

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 : 1235235615
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA LEE PAPPAS ND ACNP FNP
Provider Business Mailing Address
First Line : 3644 MEADOW VISTA LN
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-5792
Country : US
Telephone Number : 850-445-4690
Fax Number :
Provider Business Practice Location Address
First Line : 2181 ORANGE AVE E
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-6144
Country : US
Telephone Number : 850-445-4690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 01/02/2025

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