Unknown Individual – Primary Care Nurse Practitioner, NPI 1356312052
Primary Care Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 100197
GAINESVILLE, FL 326100197
Phone: (904) 244-5174
Fax: (904) 244-3246
Type: Mailing
Newell Drive, Gainesville, Alachua County, Florida, 32610, United States
GAINESVILLE, FL 32611
Phone: (904) 244-5174
Fax: (904) 244-3246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32610)
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