Fanselow, Mary

Fanselow, Mary is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 350, Daytona Beach FL 32114-2781. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fanselow, Mary can be contacted via phone (386) 255-1266.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 350 Daytona Beach FL 32114-2781
Phone: (386) 255-1266
Fax: (386) 255-8520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3378812 Florida

Profile Details

NPI number 1881610459
LBN Legal business name Fanselow, Mary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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