Individual
MRS. SUSIE WEAVER SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
1338 SOUTH BLVD, CHIPLEY, FL 32428-1846
(850) 554-0046
Mailing address
1338 SOUTH BLVD, CHIPLEY, FL 32428-1846
(850) 554-0046
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN1328512
FL
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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