Provider Demographics
NPI:1366856254
Name:CARLAND, CHIAVANI (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CHIAVANI
Middle Name:
Last Name:CARLAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4690 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-2338
Mailing Address - Country:US
Mailing Address - Phone:305-835-0101
Mailing Address - Fax:305-835-0102
Practice Address - Street 1:4690 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-2338
Practice Address - Country:US
Practice Address - Phone:305-835-0101
Practice Address - Fax:305-835-0102
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9281487163W00000X
FLARNP-9281487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse