Provider Demographics
NPI:1457785636
Name:CARTER, DAPHNEY (ARNP)
Entity Type:Individual
Prefix:
First Name:DAPHNEY
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DAPHNEY
Other - Middle Name:
Other - Last Name:MAURISSEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2241 S SHERMAN CIR
Mailing Address - Street 2:C310
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2293
Mailing Address - Country:US
Mailing Address - Phone:754-244-0208
Mailing Address - Fax:
Practice Address - Street 1:2241 S SHERMAN CIR
Practice Address - Street 2:C310
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2293
Practice Address - Country:US
Practice Address - Phone:754-244-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9259419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily