1346372083 NPI number — DENISE MAGALY CARULLI ARNP

Table of content: DENISE MAGALY CARULLI ARNP (NPI 1346372083)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346372083 NPI number — DENISE MAGALY CARULLI ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARULLI
Provider First Name:
DENISE
Provider Middle Name:
MAGALY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346372083
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12470 TELECOM DR
Provider Second Line Business Mailing Address:
STE 300W
Provider Business Mailing Address City Name:
TEMPLE TERRACE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33637
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-871-8079
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12470 TELECOM DR
Provider Second Line Business Practice Location Address:
STE 300W
Provider Business Practice Location Address City Name:
TEMPLE TERRACE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-871-8079
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  ARNP 3172932 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ARNP 3172932 . This is a "ADV REG NURSE PRACTITIONE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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