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Individual

LISA ANN CLOUTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, PMHNP-BC

Contact information

Practice address
5664 SW 60TH AVE, OCALA, FL 34474
(352) 291-5555
Mailing address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5555

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
056662-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9268297
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9468297
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
JD253Z
MEDICARE
FL
Enumeration date
09/08/2014
Last updated
07/27/2018
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