Doctor Name: | MARY ELIZABETH NAVE |
NPI Number: | 1063515203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1751472 |
Business Practice Address: | 119 Longwood Ave Rockledge, FL - 329552827 |
Business Phone Number: | 3216326963 |
Business Fax Number: | 3216326983 |
Mailing Address: | Po Box 11406, BELFAST |
State: | ME |
Postal Code: | 049154005 |
Phone Number: | 3216326963 |
Fax Number: | 3216326983 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP1751472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |