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Psychiatric/Mental Health Nurse Practitioner

NPI: 1134603020IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

9275253(FL)
Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

9275253(FL)
Gerontology Nurse Practitioner

Nurse Practitioner — Gerontology

Code: 363LG0600X

9275253(FL)
Psychiatric/Mental Health Nurse PractitionerPrimary

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

APRN9275253(FL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2015

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Contact & Hours

Address
3030 HARDEN BLVD
LAKELAND, FL 33803

Quick Facts

NPI
1134603020
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
1
Years in Practice
11

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