Individual provider · Type 1 NPI
Marina B. Ross
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Lady Lake, FL
NPI number
1669936258
Active
Practice location
305 Skyline Dr Ste 1
Lady Lake, FL 32159-4592
Fax (352) 431-3173
Mailing address
104 E Dixie Ave
Leesburg, FL 34748-6350
Other practice locations
- 104 E Dixie Ave, Leesburg, FL 34748-6350 · (352) 431-3940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0810X | APRN11001032 (FL) |
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1669936258
Marina B. Ross's National Provider Identifier is 1669936258, issued on Jan 28, 2019. The primary taxonomy on file is Child & Family Psychiatric/Mental Health Clinical Nurse Specialist (364SP0810X), and the practice location is in Lady Lake, FL. The record was last updated on Jan 28, 2019.