Individual
ANAYELI MANCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 INTEGRA DUNES CIR APT 405, DELAND, FL 32724-8646
(386) 837-9081
Mailing address
400 INTEGRA DUNES CIR APT 405, DELAND, FL 32724-8646
(386) 837-9081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11035711
FL
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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