Individual
ELLEN ELIZABETH FESMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
10110 NW COUNTY ROAD 235, ALACHUA, FL 32615-6660
(386) 462-7346
(386) 462-7381
Mailing address
10110 NW COUNTY ROAD 235, ALACHUA, FL 32615-6660
(386) 462-7346
(386) 462-7381
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
897992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227801
AVMED
FL
01
—
Y4737
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/29/2007
Last updated
07/08/2007
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