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Mrs. Nancy Lea Underdahl, LPN
Licensed Practical Nurse in Niceville, Florida
NPI 1396924585

Nancy Lea Underdahl is a Licensed Practical Nurse based in Fort Walton Beach, FL. Nancy Lea Underdahl practices in Niceville, FL and has the professional credentials of LPN. The NPI Number for Nancy Lea Underdahl is 1396924585 and holds a License No. PN1332311 (Florida).

The current practice location address for Nancy Lea Underdahl is 4545 Range Rd, Niceville, FL and can be reached out via phone at 850-833-4240 and via fax at 850-833-4243.

Location: 4545 Range Rd, Niceville, FL, 32548-5066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396924585
Provider Name
Nancy Lea Underdahl
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4545 Range Rd, Niceville, FL, 32548-5066
Phone Number
850-833-4240
Fax Number
850-833-4243
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4545 Range Rd
City
Niceville
State
Florida
Zip
32578-8713
Phone Number
850-833-4240
Fax Number
850-833-4243
person
Provider Business Mailing Address Details
Address
4545 Range Rd
City
Niceville
State
Florida
Zip
32578-8713
Phone Number
850-833-4240
Fax Number
850-833-4243
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN1332311 (Florida)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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