Individual
MS. ADAIR LYNNE DEICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 COCONUT BAY LN UNIT 3G, SARASOTA, FL 34237-3055
(727) 239-9938
Mailing address
2740 COCONUT BAY LN UNIT 3G, SARASOTA, FL 34237-3055
(727) 239-9938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0941812
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
941812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303680400
—
FL
Enumeration date
11/01/2006
Last updated
09/28/2020
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