Basic Information
Provider Information
NPI: 1902209125
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARPIO
FirstName: CLAUDIA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2010 NW 150TH AVE
Address2: SUITE 210
City: PEMBROKE PINES
State: FL
PostalCode: 330282888
CountryCode: US
TelephoneNumber: 9544319838
FaxNumber: 9542416726
Practice Location
Address1: 2010 NW 150TH AVE
Address2: SUITE 210
City: PEMBROKE PINES
State: FL
PostalCode: 330282888
CountryCode: US
TelephoneNumber: 9544319838
FaxNumber: 9542416726
Other Information
ProviderEnumerationDate: 10/01/2014
LastUpdateDate: 10/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XSP014191PAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
363LP0808XAPRN9303529FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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