Ethridge, Mary

Ethridge, Mary is an sole proprietor health care provider with primary practice located at 16 Cedar Point Dr , Palm Coast FL 32164-4265. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Ethridge, Mary can be contacted via phone (850) 557-3016.

Contact Information

Primary practice address
16 Cedar Point Dr Palm Coast FL 32164-4265
Phone: (850) 557-3016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 9221828 Florida

Profile Details

NPI number 1003546136
LBN Legal business name Ethridge, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2022
Last updated Jun 13th, 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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