Individual
DEBRA ANN HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3200
Mailing address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP1388602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767109100
—
FL
Enumeration date
11/21/2006
Last updated
03/21/2013
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