person
Godlive Desravines
Psychiatric/Mental Health Nurse Practitioner in Tampa, Florida
NPI 1750072518

Godlive Desravines is a Psychiatric/Mental Health Nurse Practitioner based in Tampa, FL and is specialized in Psychiatric/Mental Health. Godlive Desravines practices in Tampa, FL. The NPI Number for Godlive Desravines is 1750072518 and holds a License No. 11023834 (Florida).

The current practice location address for Godlive Desravines is 4620 N 22Nd St, Tampa, FL and can be reached out via phone at 813-397-5300 and via fax at 813-738-9034.

Location: 4620 N 22Nd St, Tampa, FL, 33682-2969
person
Provider Profile Details
NPI Number
1750072518
Provider Name
Godlive Desravines
Credential
Provider Entity Type
Individual
Gender
Female
Address
4620 N 22Nd St, Tampa, FL, 33682-2969
Phone Number
813-397-5300
Fax Number
813-738-9034
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4620 N 22Nd St
City
State
Zip
33610-6205
Phone Number
813-397-5300
Fax Number
813-738-9034
person
Provider Business Mailing Address Details
Address
4620 N 22Nd St
City
State
Zip
33610-6205
Phone Number
813-397-5300
Fax Number
813-738-9034
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11023834 (Florida)
Definition
Definition to come...
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