Individual
MRS. BRANDACE MICHELE KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
MCKNIGHT BRAIN INSTITUTE ROOM L3 100, 1149 NEWELL DRIVE, GAINESVILLE, FL 32611-0001
(352) 265-0111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9217358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017203300
—
FL
Enumeration date
01/04/2016
Last updated
06/21/2016
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