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ELLEN ELIZABETH FESMIRE CRNFA

Registered Nurse First Assistant >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1649316423

Individual Registrant:
 ELLEN ELIZABETH FESMIRE CRNFA
Gender: F
Sole Proprietor

Location and contact information for practice:
10110 NW COUNTY ROAD 235  ALACHUA, FL 32615-6660 US
Tel: 386-462-7346  Fax: 386-462-7381

Contact information for business:
10110 NW COUNTY ROAD 235  ALACHUA, FL 32615-6660 US
Tel: 386-462-7346  Fax: 386-462-7381

Registration Information:
NPI: 1649316423
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WR0006XNursing Service Providers
Registered Nurse
Registered Nurse First Assistant
FL897992

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELDY4737FL01
AVMED227801FL01




HEALTH CARE JOBS FL - Page 1



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