Individual
MRS. MARY L ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
7431 LOCKSLEY LN, LAKELAND, FL 33809-5027
(863) 370-4399
Mailing address
7431 LOCKSLEY LN, LAKELAND, FL 33809-5027
(863) 370-4399
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1478302
FL
Other
Enumeration date
07/15/2017
Last updated
06/07/2021
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