Individual
MRS. EBONY PATRICE OLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11138 GOLDENROD FERN DR, RIVERVIEW, FL 33569-2230
(813) 312-4413
Mailing address
11138 GOLDENROD FERN DR, RIVERVIEW, FL 33569-2230
(813) 312-4413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 9222592
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP 9222592
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9222592
FL
Other
Enumeration date
10/11/2013
Last updated
04/13/2022
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