Raikes Hartley, Ann Marie
Raikes Hartley, Ann Marie is an individual health care provider with primary practice located at 3185 W Vine St , Kissimmee FL 34741-3738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Raikes Hartley, Ann Marie can be contacted via phone (407) 569-1260.Contact Information
Primary practice address
3185 W Vine St
Kissimmee FL 34741-3738
Phone: (407) 569-1260
Fax: (833) 963-0109
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP3179612 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP3179612 | Florida |
Profile Details
NPI number | 1225385818 |
---|---|
LBN Legal business name | Raikes Hartley, Ann Marie |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2012 |
Last updated | Jun 28th, 2023 - about last year |
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 | 1225385818 | NPPES |
Florida | MEDICAID | 006434700 | |
Florida | Other | YOE13 |
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