Shimko, Mary

Shimko, Mary is an individual health care provider with primary practice located at 421 Se Alfred Markham St , Lake City FL 32025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Shimko, Mary can be contacted via phone (386) 697-1364.

Contact Information

Primary practice address
421 Se Alfred Markham St Lake City FL 32025
Phone: (386) 697-1364
Fax: (888) 370-3379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11002284 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 191552 North Carolina

Profile Details

NPI number 1487741096
LBN Legal business name Shimko, Mary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 12th, 2019 - 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 1487741096 NPPES
North Carolina MEDICAID PENDING

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