Provider Demographics
NPI:1033580238
Name:ORREN, CARINA JOANNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CARINA
Middle Name:JOANNE
Last Name:ORREN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 KEYWAY RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-1631
Mailing Address - Country:US
Mailing Address - Phone:941-468-8628
Mailing Address - Fax:
Practice Address - Street 1:18150 MURDOCK CIR BLDG G
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-4027
Practice Address - Country:US
Practice Address - Phone:941-623-4444
Practice Address - Fax:941-889-7856
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9269073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIL135ZMedicare PIN