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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN ANN SPACE, CNP

Active

CAROLYN ANN SPACE, CNP is a Nurse Practitioner healthcare provider located in EGLIN, Florida. NPI 1336553585 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · EGLIN, FL

Registration Details

NPI Number
1336553585
Provider Type
Individual
Gender
Female
NPI Issued
Jun 16, 2014 (12.152287881946 yrs)
Last Updated
Sep 24, 2018
License
ARNP9457268 (FL)

Practice Information

Address
96 MDG
307 BOATNER ROAD
EGLIN, FL, 32542
Browse FL providers · Browse ZIP 32542
Phone
8508839957
Primary Specialty
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.