Individual
SHIRLEY DESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
658 SW CABURN AVE, PORT ST LUCIE, FL 34953-7667
(561) 983-1263
Mailing address
658 SW CABURN AVE, PORT ST LUCIE, FL 34953-7667
(561) 983-1263
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN9532982
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9532982
FL
163WS0121X
Plastic Surgery Registered Nurse
RN9532982
FL
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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