MS. Tally Hustace, ARNP

NPI #1356379416 in Miami, Florida

Provider Information

NPI Number
1356379416
Entity Type
Individual
Name
MS. Tally Hustace, ARNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Pediatrics
Credential
ARNP
Enumeration Date
Jun 29, 2006
Last Updated
Jan 20, 2012

Practice Location

Address
1601 NW 12TH AVE
Address 2
BOX 016960 M851
City
Miami
State
Florida
ZIP Code
33101-6960
Phone
(305) 243-4029

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Registered Nurse - PediatricsPediatrics

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