Provider Demographics
NPI:1811766710
Name:BABA, CARINA M (APRN-C, FNP)
Entity type:Individual
Prefix:MISS
First Name:CARINA
Middle Name:M
Last Name:BABA
Suffix:
Gender:F
Credentials:APRN-C, FNP
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Mailing Address - Street 1:360 N BAYSHORE BLVD APT 203
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3837
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6006 49TH ST N STE 120
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-2149
Practice Address - Country:US
Practice Address - Phone:727-528-5739
Practice Address - Fax:727-528-5855
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11030266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty