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NPI Code Detail

MEDICARE: ELIZABETH B RONAN ARNP

MEDICARE: ELIZABETH B RONAN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP9215782FL

General Provider Information

NPI Number : 1700821782
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH B RONAN ARNP
Provider Business Mailing Address
First Line : 11106 W COVE HARBOR DR
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34428-6226
Country : US
Telephone Number : 352-794-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1601 S.W. ARCHER ROAD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-1197
Country : US
Telephone Number : 800-324-8387
Fax Number : 352-379-4055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/08/2007

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