Individual
ELYCE F KWASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
210 JUPITER LAKES BLVD, 4105, JUPITER, FL 33458-7191
(561) 743-9077
Mailing address
210 JUPITER LAKES BLVD, 4105, JUPITER, FL 33458-7191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN346088
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP 9311380
FL
Other
Enumeration date
01/05/2009
Last updated
04/25/2013
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