Individual
ANN-MARIE FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP/LCSW
Contact information
Practice address
6015 NW 83RD TER, GAINESVILLE, FL 32653-3829
(352) 275-8176
Mailing address
6015 NW 83RD TER, GAINESVILLE, FL 32653-3829
(352) 275-8176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18712
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP1577732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340306800
—
FL
Enumeration date
06/25/2006
Last updated
06/05/2023
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