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Individual
GREGG STEVEN HALVERSON
Active
Individual
GREGG STEVEN HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11001570
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021033954
FL
Other
Enumeration date
05/21/2019
Last updated
08/30/2023
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