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Individual
LEATRICE IONE TOWNSEND
Active
Individual
LEATRICE IONE TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9211311
FL
363LF0000X
Family Nurse Practitioner
Primary
9211311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000201030
—
ME
05
—
307403000
—
FL
01
—
Y088Q
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/09/2006
Last updated
03/02/2017
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