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Individual

RITA AVA ANNMARIE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4241 SW JAME ST, PORT SAINT LUCIE, FL 34953-6447
(954) 817-0944
Mailing address
4241 SW JAME ST, PORT SAINT LUCIE, FL 34953-6447

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
2025084485
FL

Other

Enumeration date
11/15/2025
Last updated
11/15/2025
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