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Individual
MS. NANCY M. FUSILLO
Active
Individual
MS. NANCY M. FUSILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 1743292
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP 1743292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000977000
—
FL
01
—
1396767620
NPI
—
Enumeration date
07/24/2006
Last updated
04/30/2013
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