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Individual
MS. MARY CATHARINE PENN
Active
Individual
MS. MARY CATHARINE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN2849942
FL
363LF0000X
Family Nurse Practitioner
2849942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3050408-00
—
FL
Enumeration date
09/27/2005
Last updated
02/13/2021
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