Individual
IRINA MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
138 COTTONWOOD CIR, LYNN HAVEN, FL 32444-4776
(731) 707-1627
Mailing address
138 COTTONWOOD CIR, LYNN HAVEN, FL 32444-4776
(731) 707-1627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11029039
FL
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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