Bennett-Wilson, Marva Louise

Bennett-Wilson, Marva Louise is an sole proprietor health care provider with primary practice located at 7188 S Us #1 , Port Saint Lucie FL 34952. She recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse, Agencies / Nursing Care, Agencies / Home Health, Agencies / Home Infusion, Agencies / In Home Supportive Care. Agencies / Nursing Care is her primary health care specialty. Bennett-Wilson, Marva Louise can be contacted via phone (772) 301-1274.

Contact Information

Primary practice address
7188 S Us #1 Port Saint Lucie FL 34952
Phone: (772) 301-1274
Fax: (772) 301-1387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5157934 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN9389778 Florida
Agencies / Nursing Care 251J00000X RN9389778 Florida
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1578685186
LBN Legal business name Bennett-Wilson, Marva Louise
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated May 3rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578685186 NPPES
Florida MEDICAID 014818700
Florida MEDICAID 019161900

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