Individual
MICHELE BONAZZOLI-CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP3210142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP3210142
MEDICAL LICENSE
FL
Enumeration date
06/05/2017
Last updated
06/16/2018
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