Individual
MRS. ANN MARIE O'SHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP BC-C
Contact information
Practice address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
(352) 527-8818
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 563-0931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11006199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105693100
—
FL
Enumeration date
02/20/2020
Last updated
10/18/2021
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