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CAMERON ALDER ARNP
Gerontology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1609542919
Individual Registrant: CAMERON ALDER ARNP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
700 1ST ST S WINTER HAVEN, FL 33880-3605 US
Tel: 863-858-8000 Fax: --
Tel: 863-858-8000 Fax: --
Contact information for business:
5686 OAKWOOD KNOLL DR LAKELAND, FL 33811-1513 US
Tel: 585-465-8004 Fax: --
Tel: 585-465-8004 Fax: --
Registration Information:
NPI: 1609542919
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology | FL | APRN11010044 |
| Y | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | APRN11010044 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
