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NPI Code Detail

MEDICARE: CLAUDIA J CARLSON FNP

MEDICARE:   CLAUDIA J CARLSON  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
1363LF0000XFamily Nurse Practitioner9371898FL

General Provider Information

NPI Number : 1730156290
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA J CARLSON FNP
Provider Business Mailing Address
First Line : 622 DUNDEE LN
Second Line :
City : HOLMES BEACH
State : FL
Zip : 34217-1216
Country : US
Telephone Number : 503-819-3132
Fax Number :
Provider Business Practice Location Address
First Line : 622 DUNDEE LN
Second Line :
City : HOLMES BEACH
State : FL
Zip : 34217-1216
Country : US
Telephone Number : 503-819-3132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 02/11/2016

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Directions to “ CLAUDIA J CARLSON FNP” Practice Location

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