Parks, Mary Beth
Parks, Mary Beth is an individual health care provider with primary practice located at 8960 Colonial Center Dr Ste 300 , Fort Myers FL 33905-7810. 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 / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Parks, Mary Beth can be contacted via phone (239) 343-9470.Contact Information
Primary practice address
8960 Colonial Center Dr Ste 300
Fort Myers FL 33905-7810
Phone: (239) 343-9470
Fax: (239) 343-9498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11009513 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN8135 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN8135 | Tennessee |
Profile Details
| NPI number | 1790735736 |
|---|---|
| LBN Legal business name | Parks, Mary Beth |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jan 6th, 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 | 1790735736 | NPPES |
| Florida | MEDICAID | 112420100 |
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