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Individual

SHELLY ANN FOLTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
418 ROYAL TERN RD S, PONTE VEDRA BEACH, FL 32082-7222
(904) 501-8985
Mailing address
418 ROYAL TERN RD S, PONTE VEDRA BEACH, FL 32082-7222
(904) 501-8995

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP 1796622
FL
367H00000X
Anesthesiologist Assistant
Primary
ARNP1796622
FL

Other

Enumeration date
01/18/2006
Last updated
07/08/2019
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