Individual
MRS. GUIRLENE BASTIEN MEDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(813) 666-2714
(352) 565-4131
Mailing address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(305) 744-2154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9353569
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9353569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116101400
—
FL
Enumeration date
06/20/2019
Last updated
11/28/2022
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