Shields, Marie Carol

Shields, Marie Carol is an sole proprietor health care provider with primary practice located at 5036 Sw 87Th Ter , Cooper City FL 33328-4334. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shields, Marie Carol can be contacted via phone (954) 394-9758.

Contact Information

Primary practice address
5036 Sw 87Th Ter Cooper City FL 33328-4334
Phone: (954) 394-9758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110011858 Florida

Profile Details

NPI number 1255958518
LBN Legal business name Shields, Marie Carol
Credentials NURSE PRACTITIONER,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2020
Last updated May 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255958518 NPPES
Florida Other APRN11011858 FLORIDA DEPARTMENT OF HEALTH
Florida Other RN--9233024 FLORIDA DEPARTMENT OF HEALTH

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