Individual
GEORGINA BEMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
(850) 522-4484
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
(850) 522-4484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP897212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014240800
—
FL
Enumeration date
01/13/2015
Last updated
10/11/2017
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