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CHARRITA ANNIESE ERNEWEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
24420 SR 54, LUTZ, FL 33559-7303
(813) 949-4100
(813) 949-4144
Mailing address
2535 MASON OAKS DR, VALRICO, FL 33596-6498
(813) 892-0635
(727) 789-1010

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9186728
FL

Other

Enumeration date
12/07/2012
Last updated
12/07/2012
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