Doctor Name: | MRS. MARY CATHERINE PUHR |
NPI Number: | 1245446616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNPC |
License Number: | 1874522ARNP |
Business Practice Address: | 2300 Kurt St Eustis, FL - 32726 |
Business Phone Number: | 3525892501 |
Business Fax Number: | 3525894041 |
Mailing Address: | 41741 Iris St, EUSTIS |
State: | FL |
Postal Code: | 32736 |
Phone Number: | 3525514775 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 1874522ARNP |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |