Bredy, Marie C

Bredy, Marie C is an individual health care provider with primary practice located at 2605 Enterprise Rd E Ste 100 , Clearwater FL 33759-1067. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bredy, Marie C can be contacted via phone (727) 799-6255.

Contact Information

Primary practice address
2605 Enterprise Rd E Ste 100 Clearwater FL 33759-1067
Phone: (727) 799-6255
Fax: (813) 635-7865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12998 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9495681 Florida

Profile Details

NPI number 1881874832
LBN Legal business name Bredy, Marie C
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Mar 4th, 2022 - about 2 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 1881874832 NPPES
Tennessee MEDICAID 1506333

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