RUBY STA ROMANA PHAN

License Number: APRN3102212

Data As Of 6/16/2024

Profession Advanced Practice Registered Nurse
License APRN3102212
License Status CLEAR/Active
Qualifications Certified Registered Nurse Anesthetist Nurse Practitioner
License Expiration Date 4/30/2026
License Original Issue Date 07/21/2004
Address of Record 52 Underwood Street
ORLANDO, FL 32806
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

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