Individual
NANCY L MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 TALAMORE LN, MELBOURNE, FL 32940-6308
(860) 614-7533
Mailing address
1460 TALAMORE LN, MELBOURNE, FL 32940-6308
(860) 614-7533
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024117300
—
FL
Enumeration date
12/27/2018
Last updated
02/04/2019
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