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Individual

MS. ANGELA NICOLE FUDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3501 13TH ST, SAINT CLOUD, FL 34769-4054
(407) 891-6463
Mailing address
3501 13TH ST, SAINT CLOUD, FL 34769-4054
(407) 891-6463

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9185438
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP9185438
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9185438
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9185438
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP9185438
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9185438
FL

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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