Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Provan, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1003675992

Carly Provan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bradenton, Florida. Qualified in 2024, 2 years ago. Practices with Capital Anesthesia Solutions of Florida II, LLC, a 306-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

8000 State Road 64 E
Bradenton, FL 34212-7703
Phone: (941) 792-1404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN9514153 (FL)

Record details

NPI number1003675992
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 14, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 13, 2024
Mailing address12912 Usf Health Drive, Tampa, FL 33612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Capital Anesthesia Solutions Of Florida Ii, Llc — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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