Individual
ANNA RAE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 MARQUETTE AVE, ORLANDO, FL 32826-4604
(937) 397-1008
Mailing address
1817 MARQUETTE AVE, ORLANDO, FL 32826-4604
(937) 397-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-9439679
FL
163W00000X
Registered Nurse
RN305677
OH
163WH0200X
Home Health Registered Nurse
Primary
RN-9439679
FL
Other
Enumeration date
02/02/2012
Last updated
04/23/2019
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