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Individual

ANN M QUESADA-YARBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1223 GATEWAY DR STE 1D, MELBOURNE, FL 32901-2607
(321) 312-3484
(321) 729-6166
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN3054312
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303846700
FL
01
9253789
AETNA
FL
01
P01179819
RR MEDICARE
FL
01
U4849Y
MEDICARE
FL
Enumeration date
05/11/2006
Last updated
05/14/2021
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