Individual
MARY ELLEN HUCKESTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1150 N 35TH AVE, SUITE 135, HOLLYWOOD, FL 33021-5424
(954) 265-6989
(954) 965-3599
Mailing address
1150 N 35TH AVE, SUITE 135, HOLLYWOOD, FL 33021-5424
(954) 265-6989
(954) 965-3599
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1402192
FL
Other
Enumeration date
08/12/2010
Last updated
04/07/2021
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