Individual
MRS. THELMA HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9833 E COLONIAL DR, ORLANDO, FL 32817-4206
(407) 876-6699
Mailing address
9833 E COLONIAL DR, ORLANDO, FL 32817-4206
(407) 876-6699
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
11016179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11016179
ADVANCE PRACTICE NURSE
FL
Enumeration date
11/18/2021
Last updated
12/13/2022
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