Provider Demographics
NPI:1235235615
Name:PAPPAS, CARA LEE (ND ACNP FNP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:LEE
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:ND ACNP FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3785 LONGFELLOW RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-3714
Mailing Address - Country:US
Mailing Address - Phone:850-445-4690
Mailing Address - Fax:
Practice Address - Street 1:3445 BANNERMAN RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-7052
Practice Address - Country:US
Practice Address - Phone:850-894-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16957363L00000X
SCAPN1879363L00000X
FL9319191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ22003Medicare UPIN
SCQ22003Medicare UPIN