Individual
GRACE MARIA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
18600 FERNVIEW ST STE 102, LAND O LAKES, FL 34638-6231
(813) 692-8044
(813) 605-6184
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11001847
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11001847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11001847
FLORIDA BOARD OF NURSING
FL
Enumeration date
07/26/2019
Last updated
07/01/2024
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