NPI 1003212929

Marie Magdala Petit Homme

Practitioner Licensed Practical Nurse Gainesville, FL

Practice location

Address: 6815 W University Ave APT 8204, Gainesville, FL 32607-5209
Phone: (352) 301-0548

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN5217325 (FL)

Other Licensed Practical Nurse providers in Florida →

Registry record

NPI: 1003212929
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2014
Record last updated: 5 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.