Provider Demographics
NPI:1003540592
Name:CARPENTER, TRANICE L
Entity Type:Individual
Prefix:
First Name:TRANICE
Middle Name:L
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3507
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33424-3507
Mailing Address - Country:US
Mailing Address - Phone:561-396-4895
Mailing Address - Fax:
Practice Address - Street 1:315 S ABERCORN CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-2540
Practice Address - Country:US
Practice Address - Phone:561-396-4895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health