Individual provider · NPI-1

Mary C Brothers, arnp

Nurse Practitioner, Pediatrics · St Petersburg, FL

NPI number1083900898
StatusActive
Last updated in NPPESJan 15, 2013

Details

NPI
1083900898
Entity type
Individual (NPI-1)
Name
Mary C Brothers
Credential
arnp
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2011
Last updated
Jan 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatricsarnp9318824FLYes

Practice location

601 5th St S
504
St Petersburg, FL 33701-4804

Phone 727-767-7438 · Fax 727-767-8270

Mailing address

601 5th St S
504
St Petersburg, FL 33701-4804

Phone 727-767-7438 · Fax 727-767-8270

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