Individual
JOY HERTRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
862 SW CARMELITE ST, PORT SAINT LUCIE, FL 34983-1830
(772) 985-7469
Mailing address
862 SW CARMELITE ST, PORT SAINT LUCIE, FL 34983-1830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP9239812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9239812
LICENSE
FL
Enumeration date
03/21/2018
Last updated
03/21/2018
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