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Individual

SUSAN MAE MAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-3288
(727) 346-1044
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-3288
(727) 346-1044

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9195828
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP9195828
FL LICENSE
FL
Enumeration date
07/20/2011
Last updated
07/20/2011
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