Mitzi Serena Carrea, FNP-C, RN-NIC
Nurse Practitioner, Family in Dunlap, TN. Individual provider (NPI-1).
NPI number1114403003
StatusActive
Last updated in NPPESJul 14, 2018
Details
- NPI
- 1114403003
- Entity type
- Individual (NPI-1)
- Name
- Mitzi Serena Carrea
- Credential
- FNP-C, RN-NIC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2018
- Last updated
- Jul 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 24442 | TN | Yes |
Practice location
74 Wheeler Ridge RdDunlap, TN 37327-4792
Phone 904-652-9890
Mailing address
74 Wheeler Ridge RdDunlap, TN 37327-4792
Phone 904-652-9890
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