Podolskiy, Marina N

Podolskiy, Marina N is an individual health care provider with primary practice located at 3231 S National Ave Ste 320 , Springfield MO 65807-7304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Podolskiy, Marina N can be contacted via phone (417) 888-5611.

Contact Information

Primary practice address
3231 S National Ave Ste 320 Springfield MO 65807-7304
Phone: (417) 888-5611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60863109 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2020026950 Missouri

Profile Details

NPI number 1124413323
LBN Legal business name Podolskiy, Marina N
Credentials ARNP/ CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2015
Last updated Nov 24th, 2020 - 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 1124413323 NPPES
Washington Other RN60025099 WA STATE DEPT OF HEALTH, RN LICENSE
Washington Other CNM04878 WA STATE DEPT OF HEALTH, RN LICENSE
Washington MEDICAID 2108562 WA STATE DEPT OF HEALTH, RN LICENSE
Washington Other AP60863109 WA STATE DEPT OF HEALTH, RN LICENSE

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