Individual
GLORIA J. LELAIDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNMW
Contact information
Practice address
301 HEALTH PARK BLVD, STE 219, SAINT AUGUSTINE, FL 32086-5795
(904) 819-9898
(904) 819-9594
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP 1634442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000392200
—
FL
01
—
Y3038
BCBS
FL
Enumeration date
08/17/2008
Last updated
11/11/2015
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