Marotta, Alexzandria Dwan
Marotta, Alexzandria Dwan is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 540 , Lady Lake FL 32159-8987. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marotta, Alexzandria Dwan can be contacted via phone (352) 753-9777.Contact Information
Primary practice address
1400 N Us Highway 441 Ste 540
Lady Lake FL 32159-8987
Phone: (352) 753-9777
Fax: (352) 753-9781
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9356337 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9356337 | Florida |
Profile Details
NPI number | 1073895439 |
---|---|
LBN Legal business name | Marotta, Alexzandria Dwan |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2011 |
Last updated | Oct 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073895439 | NPPES |
Florida | MEDICAID | 008358400 |
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