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Individual
MRS. SHIRLEY DOLS PETREYE
Active
Individual
MRS. SHIRLEY DOLS PETREYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172441
VA
363LF0000X
Family Nurse Practitioner
3187042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3187042
LICENSE
FL
Enumeration date
10/11/2005
Last updated
02/05/2019
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