Schupp, Mary Kathleen
Schupp, Mary Kathleen is an individual health care provider with primary practice located at 100 Whetstone Pl Ste 208 , St Augustine FL 32086-5775. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Schupp, Mary Kathleen can be contacted via phone (904) 447-7377.Contact Information
Primary practice address
100 Whetstone Pl Ste 208
St Augustine FL 32086-5775
Phone: (904) 447-7377
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP1104662 | Florida |
Profile Details
NPI number | 1851445860 |
---|---|
LBN Legal business name | Schupp, Mary Kathleen |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | May 11th, 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 | 1851445860 | NPPES |
Florida | MEDICAID | 020952200 |
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