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NPI Code Detail

MEDICARE: ROSEMARIE E CARANDANG FNP

MEDICARE:   ROSEMARIE E CARANDANG  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 Practitioner830321NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V66341OTHERNVMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821431032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARIE E CARANDANG FNP
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4001 S DECATUR BLVD STE 25
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5857
Country : US
Telephone Number : 725-224-6967
Fax Number : 833-749-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 03/05/2026

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Directions to “ ROSEMARIE E CARANDANG FNP” Practice Location

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