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Individual

ALBA SUSANA SEVERINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
910 W VINE ST, KISSIMMEE, FL 34741-4165
(407) 517-9582
(407) 978-6644
Mailing address
121 S ORANGE AVE STE 940, ORLANDO, FL 32801-3234
(407) 658-9687
(407) 286-4515

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9167752
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F1214199
AMERICAN ACADEMY OF BURSE PRACTITIONERS
FL
Enumeration date
04/21/2015
Last updated
10/12/2018
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