Mary Theresa Izzo PHD, ARNP

NPI 1023145752 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1023145752
Gender Female
Enumeration Date 02/28/2007
Last Updated 08/03/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
862 PEACHWOOD DR
DELAND FL, 32720-0834, US
Phone (386) 740-7080
Fax (386) 734-0821
Business Location
862 PEACHWOOD DRIVE
DELAND FL, 32720-3215, US
Phone (386) 740-7080
Fax (386) 734-0821
Toxanomy
Taxonomy Code 363LF0000X
License State Florida
License Number 0876802
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According to our database, Dr. Mary Theresa Izzo PHD, ARNP NPI is 1023145752, taxonomy code is 363LF0000X and license number is 0876802, license state is located at Florida. Mary Theresa Izzo PHD, ARNP physically located at 862 Peachwood Dr, Deland FL, 32720-0834. NPI Number Mary Theresa Izzo PHD, ARNP has the Individual type.

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1023145752 NPI number is provided on an as is basis without warranty of any kind. 1023145752 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Theresa Izzo PHD, ARNP are for informational purposes only.