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Provider Information for 1316405996

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MELISSA SUE CARAFELLI APRN

Gender: FEMALE

Individual NPI: 1316405996

Calendar   Last Updated:  2021-10-12
  Certification Date:  2021-10-12

Details

Name Value
NPI 1316405996
Enumeration Date 2019-03-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 11144 ANCIENT FUTURES DR
TAMPA, FL 33647-3577
United States

Phone: 586-291-9457 | Fax:
View Map External Link
Primary Practice Address 10150 HIGHLAND MANOR DR STE 240
TAMPA, FL 33610-9750
United States

Phone: 813-259-1013 | Fax: 813-254-0396
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Secondary Practice Address 50258 VAN DYKE AVE STE A
SHELBY TWP, MI 48317-1374
United States

Phone: 586-884-4714 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL APRN11007252
No 363LF0000X - Nurse Practitioner Family MI 4704263793