Reeves, Martha Kelly Waldrep
Reeves, Martha Kelly Waldrep is an individual health care provider with primary practice located at 486 Sw Rutledge St , Madison FL 32340-1978. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reeves, Martha Kelly Waldrep can be contacted via phone (850) 973-8851.Contact Information
Primary practice address
486 Sw Rutledge St
Madison FL 32340-1978
Phone: (850) 973-8851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9280528 | Florida |
Profile Details
| NPI number | 1801371430 |
|---|---|
| LBN Legal business name | Reeves, Martha Kelly Waldrep |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2018 |
| Last updated | Sep 29th, 2018 - about 6 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 | 1801371430 | NPPES |
| Florida | Other | ARNP9280528 | ARNP LICENSE |
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