Individual
MS. MARGARET MOORE FAENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, RN, BSN
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN204230
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11003386
FL
367500000X
Certified Registered Nurse Anesthetist
RN204230
GA
Other
Enumeration date
07/06/2016
Last updated
10/13/2020
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