Individual
MARY E VONMERVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
204 E PALMETTO ST, WAUCHULA, FL 33873-2732
(863) 773-2111
(863) 773-3284
Mailing address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3000
(863) 452-3077
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9267080
FL
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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