Individual
MRS. AMY BELL PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
475 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 800-3031
(772) 807-1409
Mailing address
475 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 800-3031
(772) 807-1409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9448970
FL
363LF0000X
Family Nurse Practitioner
ARNP9448970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9448970
FL ARNP LICENSE
FL
Enumeration date
05/11/2016
Last updated
12/09/2020
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