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NPI Code Detail

MEDICARE: ALICIA N CARDEN APRN

MEDICARE: ALICIA N CARDEN APRN
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
1101YM0800XMental Health CounselorAPRN9323160FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9323160FL

General Provider Information

NPI Number : 1942688403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA N CARDEN APRN
Provider Business Mailing Address
First Line : 400 E SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3184
Country : US
Telephone Number : 321-722-5200
Fax Number :
Provider Business Practice Location Address
First Line : 400 E SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3184
Country : US
Telephone Number : 321-722-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 02/04/2026

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