Individual
MS. MARYANN VANDERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4960 SW 72ND AVE, SUITE 400, MIAMI, FL 33155-5544
(561) 688-4537
Mailing address
1110 N RIVERSIDE DRIVE, APT 14, POMPANO BEACH, FL 33062
(732) 604-6541
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
ARNP9295000
FL
Other
Enumeration date
09/12/2006
Last updated
02/01/2011
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