Individual provider · Type 1 NPI

Carolyn Ann Space, CNP

Nurse Practitioner · Eglin, FL

NPI number 1336553585 Active

Practice location

96 Mdg, 307 Boatner Road
Eglin, FL 32542

Mailing address

96MDG, 307 Boatner Road Attn: Credentials
Eglin, FL 32542

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9457268 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1336553585

Carolyn Ann Space, CNP's National Provider Identifier is 1336553585, issued on Jun 16, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eglin, FL. The record was last updated on Sep 24, 2018.