Individual
AUDREY LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 SE RENICK AVE, PORT ST LUCIE, FL 34952-6761
(772) 398-5420
Mailing address
2410 SE RENICK AVE, PORT ST LUCIE, FL 34952-6761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9184474
FL
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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