Kearley, Mary Ann

Kearley, Mary Ann is an sole proprietor health care provider with primary practice located at 6465 College Park Sq Suite 210, Virginia Beach VA 23464-3609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health. Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health is her primary health care specialty. Kearley, Mary Ann can be contacted via phone (757) 420-0530.

Contact Information

Primary practice address
6465 College Park Sq Suite 210 Virginia Beach VA 23464-3609
Phone: (757) 420-0530
Fax: (757) 420-0488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001342 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X 0015000183 Virginia

Profile Details

NPI number 1215002290
LBN Legal business name Kearley, Mary Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Feb 9th, 2015 - about 10 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 1215002290 NPPES
Virginia MEDICAID 010060389

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