Individual
MRS. ANDREA JENISE CAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
218 9TH STREET DR W, PALMETTO, FL 34221-4802
(941) 721-3900
Mailing address
218 9TH STREET DR W, PALMETTO, FL 34221-4802
(941) 721-3900
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9241073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006511500
—
FL
Enumeration date
07/12/2012
Last updated
11/02/2012
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