Individual
MRS. FADRA S MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(800) 324-8387
(352) 374-6157
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(180) 032-4838
(352) 374-6157
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP2512952
FL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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