Individual
SANTHIA MIRTYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(786) 868-0012
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9373212
FL
363LG0600X
Gerontology Nurse Practitioner
APRN9373212
FL
Other
Enumeration date
06/02/2018
Last updated
10/13/2021
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