Provider Demographics
NPI:1346671757
Name:MION, KAROLINE MIRANDA (APRN, PMHNP-BC , FNP)
Entity Type:Individual
Prefix:MS
First Name:KAROLINE
Middle Name:MIRANDA
Last Name:MION
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC , FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7401 WILES RD STE 151
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2036
Mailing Address - Country:US
Mailing Address - Phone:954-694-7292
Mailing Address - Fax:954-556-6179
Practice Address - Street 1:7401 WILES RD STE 151
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2036
Practice Address - Country:US
Practice Address - Phone:954-694-7292
Practice Address - Fax:954-556-6179
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9278657363LP0808X
FLARNP9278657363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023999000Medicaid