Susana, Mariel Altagracia

Susana, Mariel Altagracia is an individual health care provider with primary practice located at 944 S Military Trl , West Palm Beach FL 33415-3910. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Susana, Mariel Altagracia can be contacted via phone (561) 425-8000.

Contact Information

Primary practice address
944 S Military Trl West Palm Beach FL 33415-3910
Phone: (561) 425-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11007448 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11007448 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11007448 Florida

Profile Details

NPI number 1912525122
LBN Legal business name Susana, Mariel Altagracia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2020
Last updated Aug 1st, 2023 - 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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