Provider Demographics
NPI:1548233224
Name:CAREY, DENISE RENEE (CRNA)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:RENEE
Last Name:CAREY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5122 50TH AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-4902
Mailing Address - Country:US
Mailing Address - Phone:954-914-5506
Mailing Address - Fax:
Practice Address - Street 1:5122 50TH AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-4902
Practice Address - Country:US
Practice Address - Phone:954-914-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-11
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9173043367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL303455100Medicaid
FLE5370ZMedicare ID - Type Unspecified
FL303455100Medicaid
E5370UMedicare PIN