Andersen, Carol Keenan

Andersen, Carol Keenan is an sole proprietor health care provider with primary practice located at 122 Serenade Ln , Panama City Beach FL 32413-1351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Andersen, Carol Keenan can be contacted via phone (850) 319-3770.

Contact Information

Primary practice address
122 Serenade Ln Panama City Beach FL 32413-1351
Phone: (850) 319-3770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 813072 Florida

Profile Details

NPI number 1093747768
LBN Legal business name Andersen, Carol Keenan
Credentials ARNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Oct 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093747768 NPPES
Florida Other F0305272 AM ACAD NURSEPRACTITIONES

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