Individual
MS. MARY L. DENNIS X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10000 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2111
(772) 345-8100
Mailing address
7605 HIBISCUS RD, FORT PIERCE, FL 34951-1744
(772) 979-2322
(772) 464-3053
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9303547
FL
363LA2100X
Acute Care Nurse Practitioner
GAA-NP000710
GA
Other
Enumeration date
08/29/2014
Last updated
06/25/2022
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