SearchFlorida171100000X

Gretchen Thevenau, AP

NPI 1548714082 · on the registry since 2016 · sole proprietor

Practice

Address
116 Conner St Ne
Live Oak, FL 32064
Phone
(386) 361-8462

Additional practice sites

  • 312 Ohio Ave N, Live Oak, FL

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
171100000X
Licence states on file
CO, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida