Provider Demographics
NPI:1174776116
Name:BHAVSAR, CARRIE (MS, FNP-BC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:BHAVSAR
Suffix:
Gender:F
Credentials:MS, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 COUNTY ROAD 326
Mailing Address - Street 2:
Mailing Address - City:GIDDINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78942-9252
Mailing Address - Country:US
Mailing Address - Phone:931-338-9117
Mailing Address - Fax:
Practice Address - Street 1:1298 COUNTY ROAD 326
Practice Address - Street 2:
Practice Address - City:GIDDINGS
Practice Address - State:TX
Practice Address - Zip Code:78942-9252
Practice Address - Country:US
Practice Address - Phone:931-338-9117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132576363LF0000X
HIAPRN-RX 504363LF0000X
HI68452163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse