Medina, Mary Beth E
Medina, Mary Beth E is an individual health care provider with primary practice located at 2303 S Virginia St Ste & , Reno NV 89502-3416. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Medina, Mary Beth E can be contacted via phone (510) 367-5383.Contact Information
Primary practice address
2303 S Virginia St Ste &
Reno NV 89502-3416
Phone: (510) 367-5383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 450481 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 18684 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 826254 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 826254 | Nevada |
Profile Details
| NPI number | 1700025285 |
|---|---|
| LBN Legal business name | Medina, Mary Beth E |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2009 |
| Last updated | Oct 23rd, 2023 - 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 | 1700025285 | NPPES |
| Nevada | Other | 826254 | NV APRN LIC |
| Nevada | Other | 14603059 | NV APRN LIC |
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