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Individual

MS. MIRIAM C ELLENBURG-FERRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP, APRN

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24937
SC
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
APRN9345176
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006283600
FL
Enumeration date
01/02/2008
Last updated
08/12/2021
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