Provider Demographics
NPI:1841933611
Name:SETTLES, CONNIE ARNETRA
Entity type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:ARNETRA
Last Name:SETTLES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CONNIE
Other - Middle Name:ARNETRA
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2022 THRACE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-6354
Mailing Address - Country:US
Mailing Address - Phone:813-665-0766
Mailing Address - Fax:
Practice Address - Street 1:2022 THRACE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33605-6354
Practice Address - Country:US
Practice Address - Phone:813-665-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234203253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care