Individual
GLORIA GATEWOOD CRITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1401 CENTERVILLE RD, STE 300, TALLAHASSEE, FL 32308-4675
(850) 878-8121
(850) 942-6515
Mailing address
1401 CENTERVILLE RD, STE 300, TALLAHASSEE, FL 32308-4675
(850) 878-8121
(850) 942-6515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 2712832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308549000
—
FL
01
—
ARNP 2712832
FLORIDA LICENSE
FL
Enumeration date
05/22/2007
Last updated
09/02/2011
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