Individual
ANDREA ELAINE STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1514 1ST ST N, WINTER HAVEN, FL 33881-2476
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11018349
FL
Other
Enumeration date
03/04/2022
Last updated
03/01/2023
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