Organization
SLR-ARNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ROUX ARNP-BC (FAMILY PSYCHIATRIC NURSE PRACTITION)
(941) 379-9110
Entity
Organization
Contact information
Practice address
3402 MAGIC OAK LN, SARASOTA, FL 34232-1812
(941) 379-9110
(941) 343-9110
Mailing address
3402 MAGIC OAK LN, SARASOTA, FL 34232-1812
(941) 379-9110
(941) 343-9110
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9223141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090337 00
—
FL
Enumeration date
06/04/2008
Last updated
06/16/2008
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