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Individual

CHRISTINE MARIE WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
2677 MARGOT CT, FLEMING ISLAND, FL 32003-4551

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9330077
FL

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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