Weisfeld, Mary Lyon

Weisfeld, Mary Lyon is an sole proprietor health care provider with primary practice located at 5354 Timberlane Rd , Lake Wales FL 33898-8959. 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. Weisfeld, Mary Lyon can be contacted via phone (276) 973-5683.

Contact Information

Primary practice address
5354 Timberlane Rd Lake Wales FL 33898-8959
Phone: (276) 973-5683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 38592 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 027870 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0001056478 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9389844 Florida

Profile Details

NPI number 1790763357
LBN Legal business name Weisfeld, Mary Lyon
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Nov 2nd, 2021 - about 3 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 1790763357 NPPES
Other 4061629 BLUE CROSS OF TENNESSEE

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