Marina B Ross
Clinical Nurse Specialist, Psych/Mental Health, Child & Family in Lady Lake, FL. Individual provider (NPI-1).
NPI number1669936258
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1669936258
- Entity type
- Individual (NPI-1)
- Name
- Marina B Ross
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2019
- Last updated
- Jan 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0810X | Clinical Nurse Specialist, Psych/Mental Health, Child & Family | APRN11001032 | FL | Yes |
Practice location
305 Skyline Dr Ste 1Lady Lake, FL 32159-4592
Phone 352-431-3940 · Fax 352-431-3173
Mailing address
104 E Dixie AveLeesburg, FL 34748-6350
Phone 352-431-3940 · Fax 352-431-3173
Other practice locations
104 E Dixie Ave
Leesburg, FL 34748-6350
Leesburg, FL 34748-6350
Phone 352-431-3940 · Fax 352-431-3173
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