Provider Demographics
NPI:1497454839
Name:CHROMIK, CARLA ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:ANN
Last Name:CHROMIK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8868 BURNING TREE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-5601
Mailing Address - Country:US
Mailing Address - Phone:850-619-7924
Mailing Address - Fax:
Practice Address - Street 1:8868 BURNING TREE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5601
Practice Address - Country:US
Practice Address - Phone:850-619-7924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024757363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care