Individual
MS. MARYBETH PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8456
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2940052
FL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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