Douglas, Mary Kathryn

Douglas, Mary Kathryn is an individual health care provider with primary practice located at 3441 Se Willoghby Blvd , Stuart FL 34994-5060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Douglas, Mary Kathryn can be contacted via phone (772) 219-1080.

Contact Information

Primary practice address
3441 Se Willoghby Blvd Stuart FL 34994-5060
Phone: (772) 219-1080
Fax: (561) 472-9690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN3403272 Florida

Profile Details

NPI number 1275563314
LBN Legal business name Douglas, Mary Kathryn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 18th, 2019 - about 6 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 1275563314 NPPES
Florida MEDICAID 301318900

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