Individual
MRS. ALEXZANDRIA DWAN MAROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1400 N US HIGHWAY 441 STE 540, LADY LAKE, FL 32159-8987
(352) 753-9777
(352) 753-9781
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPT., ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9356337
FL
363LF0000X
Family Nurse Practitioner
ARNP9356337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008358400
—
FL
Enumeration date
09/12/2011
Last updated
10/27/2022
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