Individual
HA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14730 COBRA WAY, HUDSON, FL 34669-1083
(615) 221-5901
Mailing address
14730 COBRA WAY, HUDSON, FL 34669-1083
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9337472
FL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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