Ivette Fonseca
Ivette Fonseca is a Psychiatric/Mental Health Nurse Practitioner in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2024.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
1401 SE Goldtree Dr Ste 104Port St Lucie, FL 34952-7584
Phone: (772) 905-8531
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 11035828 (FL) |
|---|
Record details
| NPI number | 1538989223 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 16, 2024 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
| Mailing address | 1401 Se Goldtree Dr Ste 104, Port St Lucie, FL 34952-7584 |
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