person
Carolyn L Deloache, MSNARNP
Family Nurse Practitioner in Lake Butler, Florida
NPI 1740253780

Carolyn L Deloache is a Family Nurse Practitioner based in Newberry, FL and is specialized in Family. Carolyn L Deloache practices in Lake Butler, FL and has the professional credentials of MSNARNP. The NPI Number for Carolyn L Deloache is 1740253780 and holds a License No. 1699072 (Florida).

The current practice location address for Carolyn L Deloache is 850 E Main St, Lake Butler, FL and can be reached out via phone at 386-496-2323 and via fax at 352-495-3401.

Location: 850 E Main St, Lake Butler, FL, 32669-3005
person
Provider Profile Details
NPI Number
1740253780
Provider Name
Carolyn L Deloache
Credential
MSNARNP
Provider Entity Type
Individual
Gender
Female
Address
850 E Main St, Lake Butler, FL, 32669-3005
Phone Number
386-496-2323
Fax Number
352-495-3401
Provider Enumeration Date
02/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59-Q22623 01 FL CHAMPION
institution
Provider Business Practice Location Address Details
Address
850 E Main St
City
State
Zip
32054-1353
Phone Number
386-496-2323
Fax Number
352-495-3401
person
Provider Business Mailing Address Details
Address
850 E Main St
City
State
Zip
32054-1353
Phone Number
386-496-2323
Fax Number
352-495-3401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1699072 (Florida)
Definition
Definition to come...
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