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NPI Code Detail

MEDICARE: CAROLINE ELAINE ARCERI PMHNP

MEDICARE: CAROLINE ELAINE ARCERI PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP09572LA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN0000033675TN

General Provider Information

NPI Number : 1598281040
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE ELAINE ARCERI PMHNP
Provider Business Mailing Address
First Line : 3514 WALKER LN
Second Line :
City : SEVIERVILLE
State : TN
Zip : 37862-8460
Country : US
Telephone Number : 337-241-5114
Fax Number :
Provider Business Practice Location Address
First Line : 1704 E BROADWAY AVE
Second Line :
City : MARYVILLE
State : TN
Zip : 37804-2916
Country : US
Telephone Number : 865-681-6990
Fax Number : 865-981-9054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 11/30/2023

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