Individual
QUIANA SHONTA DORCELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9387008
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11030960
FL
Other
Enumeration date
09/15/2023
Last updated
06/17/2024
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