Provider Demographics
NPI:1043095623
Name:CARNES, ANDREA (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:CARNES
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 NEW PARIS WAY
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-7263
Mailing Address - Country:US
Mailing Address - Phone:813-326-1542
Mailing Address - Fax:
Practice Address - Street 1:SARASOTA VA CLINIC
Practice Address - Street 2:5682 BEE RIDGE ROAD
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233
Practice Address - Country:US
Practice Address - Phone:813-326-1542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach