Individual
ANN PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4126
(321) 639-5787
(321) 639-5762
Mailing address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4126
(321) 639-5787
(321) 639-5762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
680546
NY
163W00000X
Registered Nurse
9276799
FL
163WH0200X
Home Health Registered Nurse
680546
NY
Other
Enumeration date
02/15/2008
Last updated
02/03/2017
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