Doctor Name: | MRS. ANTOINETTE MARIE PAVEY-MCDANIEL |
NPI Number: | 1861683237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1806632 |
Business Practice Address: | 203 S Gloria St Hendry Regional Corp Health Clewiston, FL - 33440 |
Business Phone Number: | 8639831123 |
Business Fax Number: | 8639831137 |
Mailing Address: | 203 S Gloria St, Hendry Regional Corp Health CLEWISTON |
State: | FL |
Postal Code: | 33440 |
Phone Number: | 8639831123 |
Fax Number: | 8639831137 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP1806632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |