Individual
MRS. LORI NALVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1958 DAIRY RD, MELBOURNE, FL 32904-4045
(321) 409-0010
Mailing address
1995 CANTERBURY DR, INDIALANTIC, FL 32903-4028
(321) 917-1778
(321) 676-1376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 3147302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 3147302
RN LICENSE
FL
Enumeration date
02/18/2011
Last updated
02/18/2011
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