Provider Demographics
NPI:1033617758
Name:CARTER, TINA MARIE FITCH (ARNP)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:MARIE FITCH
Last Name:CARTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6942 SOTRA ST
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-8241
Mailing Address - Country:US
Mailing Address - Phone:813-508-3655
Mailing Address - Fax:
Practice Address - Street 1:6942 SOTRA ST
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-8241
Practice Address - Country:US
Practice Address - Phone:813-508-3655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-28
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9366198163WG0000X
FLAPRN9366198363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice