Provider Demographics
NPI:1487179024
Name:NAGRANI, CARRIE CUMMINGS (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:CUMMINGS
Last Name:NAGRANI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 AUGUSTA CV
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-3465
Mailing Address - Country:US
Mailing Address - Phone:850-520-0186
Mailing Address - Fax:
Practice Address - Street 1:200 GRAND BLVD STE 205A
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-1884
Practice Address - Country:US
Practice Address - Phone:850-837-2589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2017-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9181608363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care