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Individual

DR. ALICIA SELF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP-FNP-C

Contact information

Practice address
211 E MAIN ST # 435, LAKELAND, FL 33801-4628
(863) 595-6909
Mailing address
PO BOX 971, KATHLEEN, FL 33849-0971
(863) 944-6977

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9655562
FL
363L00000X
Nurse Practitioner
308247
AZ
363L00000X
Nurse Practitioner
C-APN.0102110-C-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APRN11002709
FL

Other

Enumeration date
01/28/2019
Last updated
03/27/2025
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