Mubarak, Adrienne Denise

Mubarak, Adrienne Denise is an individual health care provider with primary practice located at 30 Edgely Ln , Palm Coast FL 32164-6353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mubarak, Adrienne Denise can be contacted via phone (773) 457-9000.

Contact Information

Primary practice address
30 Edgely Ln Palm Coast FL 32164-6353
Phone: (773) 457-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9378786 Florida

Profile Details

NPI number 1972897403
LBN Legal business name Mubarak, Adrienne Denise
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2011
Last updated Aug 19th, 2019 - about 5 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 1972897403 NPPES
Florida Other RN9378786 FL RN LICENSE
Florida Other APRN9378786 FL RN LICENSE

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