Provider Demographics
NPI:1932437985
Name:CARPENTER, ANNA (MS)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SE 17TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2550
Mailing Address - Country:US
Mailing Address - Phone:954-468-3080
Mailing Address - Fax:954-468-3082
Practice Address - Street 1:300 SE 17TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2550
Practice Address - Country:US
Practice Address - Phone:954-468-3080
Practice Address - Fax:954-468-3082
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS