Individual
ELIZABETH MAE DI MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
354 TALL OAK TRL, TARPON SPRINGS, FL 34688-7711
(304) 942-1466
Mailing address
354 TALL OAK TRL, TARPON SPRINGS, FL 34688-7711
(130) 494-2146
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11018644
FL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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