Female

Mavis Terry NP

Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Mavis Terry NP

NPI Number

1063104669

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/22/2023

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

11025250

Contact
Information

Purpose

Mailing
Location

Address

2326 W SAINT LOUIS ST
2326 W SAINT LOUIS ST

City

Tampa
Tampa

State

FL
FL

Postal Code

33607-2639
33607-2639

Country

US
US

Telephone Number

(719) 360-4503
(719) 360-4503

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/22/2023

Provider Address

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