Thorkildson, Mary Claire Stevens

Thorkildson, Mary Claire Stevens is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thorkildson, Mary Claire Stevens can be contacted via phone (352) 392-1161.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 392-1161
Fax: (352) 392-5078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP461882 Florida

Profile Details

NPI number 1013979251
LBN Legal business name Thorkildson, Mary Claire Stevens
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Oct 15th, 2012 - about 13 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 1013979251 NPPES
Florida MEDICAID 0054477400

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