Individual
KARESS ANGELICA TRAWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5168 EZELL RD, GRACEVILLE, FL 32440-2402
(850) 263-5500
Mailing address
5168 EZELL RD, GRACEVILLE, FL 32440-2402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11035885
FL
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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