Concengco, Mary Jane

Concengco, Mary Jane is an individual health care provider with primary practice located at 1115 E. Ridgewood Street , Orlando FL 32803. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Concengco, Mary Jane can be contacted via phone (407) 841-1100.

Contact Information

Primary practice address
1115 E. Ridgewood Street Orlando FL 32803
Phone: (407) 841-1100
Fax: (407) 650-0262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 585935 California
Nursing Service Providers / Registered Nurse 163W00000X 4704229396 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9180792 Florida

Profile Details

NPI number 1417218942
LBN Legal business name Concengco, Mary Jane
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Mar 21st, 2013 - about 11 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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