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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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