Individual
MARIE BRYAN MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP,BC
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 292-4080
(863) 292-4017
Mailing address
200 AVE F NE, WINTER HAVEN HOSPITAL, WINTER HAVEN, FL 33881
(863) 292-4080
(863) 292-4017
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1876752
FL
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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