Individual
MRS. MARY ANN SPENCER LEGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2027 MANATEE AVE W, BRADENTON, FL 34205-5836
(941) 747-4802
(941) 747-2371
Mailing address
120 40TH STREET CT NW, BRADENTON, FL 34209-2046
(941) 747-4802
(942) 747-2371
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
ARNP 2139992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y3947
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
12/01/2009
Last updated
12/01/2009
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