Individual
MRS. SALLY ANN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P., C.P.N.P.
Contact information
Practice address
3191 CLAY MANGUM LN, TAMPA, FL 33618-2501
(813) 264-3807
(813) 264-8931
Mailing address
18631 LE DAUPHINE PL, LUTZ, FL 33558-2886
(813) 789-3642
(813) 932-0667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP2814692
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2814692
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP2814692
FL
Other
Enumeration date
10/24/2006
Last updated
08/17/2011
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