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NPI 1447557517 · live from the CMS NPI Registry

Carrie Nicole Balthazar, ARNP

Nurse Practitioner, Pediatrics in Orlando, FL. National Provider Identifier 1447557517, active.

NPI record

NPI1447557517 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, FL 32827
Practice phone407-567-4000
Mailing addressPo Box 191, Provider Enrollment Department, Rockland, DE 19732
EnumeratedFebruary 24, 2011
Last updatedSeptember 23, 2015
Sole proprietorNo
Other namesCarrie Bertram

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X9181250 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.