Individual
STACEY OSLIE ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 SW ARCHER RD, ATTN: UROLOGY (112C), GAINESVILLE, FL 32608-1135
(352) 548-6175
(352) 548-6555
Mailing address
1601 SW ARCHER RD, ATTN: UROLOGY (112C), GAINESVILLE, FL 32608-1135
(352) 548-6175
(352) 548-6555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9209869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307985600
—
FL
01
—
Y113L
BCBS
FL
Enumeration date
05/04/2006
Last updated
11/06/2013
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