Provider Demographics
NPI:1013234293
Name:MESSER, ALBERTA MARIA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ALBERTA
Middle Name:MARIA
Last Name:MESSER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:ALBERTA
Other - Middle Name:MARIA
Other - Last Name:LONGONE MESSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:22 ISLAND VIEW DRIVE
Mailing Address - City:WAYNE
Mailing Address - State:ME
Mailing Address - Zip Code:04284-0085
Mailing Address - Country:US
Mailing Address - Phone:954-649-0436
Mailing Address - Fax:
Practice Address - Street 1:4811 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-649-0436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2768892363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics