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Henriette Barbara Bertheau Avila
Family Nurse Practitioner in Lake Wales, Florida
NPI 1740055201

Henriette Barbara Bertheau Avila is a Family Nurse Practitioner based in Lake Wales, FL and is specialized in Family. Henriette Barbara Bertheau Avila practices in Lake Wales, FL. The NPI Number for Henriette Barbara Bertheau Avila is 1740055201 and holds a License No. 11029632 (Florida).

The current practice location address for Henriette Barbara Bertheau Avila is 1120 Carlton Ave, Lake Wales, FL and can be reached out via phone at 305-323-3177.

Location: 1120 Carlton Ave, Lake Wales, FL, 33853-4348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740055201
Provider Name
Henriette Barbara Bertheau Avila
Credential
Provider Entity Type
Individual
Gender
Female
Address
1120 Carlton Ave, Lake Wales, FL, 33853-4348
Phone Number
305-323-3177
Fax Number
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1120 Carlton Ave
City
Lake Wales
State
Florida
Zip
33853-4348
Phone Number
305-323-3177
Fax Number
person
Provider Business Mailing Address Details
Address
1120 Carlton Ave
City
Lake Wales
State
Florida
Zip
33853-4348
Phone Number
305-323-3177
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11029632 (Florida)
Definition
Definition to come...
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