Individual
ANDRA JEANNE VERCAUTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612
(813) 745-2720
Mailing address
13717 WILKES DR, TAMPA, FL 33618-2550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9490446
FL
Other
Enumeration date
11/22/2006
Last updated
07/27/2018
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