VA IM

ST PETERSBURG, FL
NPI1396010229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN9230763)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  ARNP9230763)
Enumeration Date2012-03-09
Last Update Date2022-10-07
Business Address
Mrs. VA IM ARNP-C
620 10TH ST N
ST PETERSBURG, FL 33705-1407
Phone number: 727-824-3120
Mailing Address
Mrs. VA IM ARNP-C
620 10TH ST N STE 1E
ST PETERSBURG, FL 33705-1407
Phone number: 727-824-3120