Individual
MONICA SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
222 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(813) 892-8990
Mailing address
7112 DENTALA ST, BROOKSVILLE, FL 34604-8474
(352) 442-4562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9356384
FL
163WL0100X
Lactation Consultant (Registered Nurse)
L-315280
FL
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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