Individual
BRENDA GRACE LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9226901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010964000
—
FL
Enumeration date
04/09/2014
Last updated
10/24/2016
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