Individual
MRS. BETH ANN IASIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
275 N GAINES ST, OAK HILL, FL 32759-9537
(321) 220-3895
(321) 265-4690
Mailing address
PO BOX 731, OAK HILL, FL 32759-0731
(321) 220-3895
(321) 265-4690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9190670
FL
163WA2000X
Administrator Registered Nurse
RN9190670
FL
163WH0200X
Home Health Registered Nurse
RN9190670
FL
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN9190670
FL
Other
Enumeration date
10/19/2019
Last updated
11/04/2021
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