Mark Lloyd Nielsen Ii, APRN | |
7550 43rd St N, Pinellas Park, FL 33781-3601 | |
(727) 824-8181 | |
Not Available |
Full Name | Mark Lloyd Nielsen Ii |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 7550 43rd St N, Pinellas Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093273328 | NPI | - | NPPES |
115716900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11001600 (Florida) | Primary |
Entity Name | Community Health Center Of Pinellas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467873315 PECOS PAC ID: 8527961028 Enrollment ID: O20040131000031 |
Entity Name | Unique Healthcare Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831567627 PECOS PAC ID: 5496058422 Enrollment ID: O20160125001731 |
Mailing Address | Practice Location Address |
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Mark Lloyd Nielsen Ii, APRN 7550 43rd St N, Pinellas Park, FL 33781-3601 Ph: (727) 824-8181 | Mark Lloyd Nielsen Ii, APRN 7550 43rd St N, Pinellas Park, FL 33781-3601 Ph: (727) 824-8181 |
Erin Michelle Murray, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10707 66th St N Ste A, Pinellas Park, FL 33782 Phone: 727-826-0933 | |
Maureen M Green, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4423 Park Blvd N, Pinellas Park, FL 33781 Phone: 727-827-2825 Fax: 727-827-2809 | |
Joanne E Bastille, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6245 66th St N, Pinellas Park, FL 33781 Phone: 727-873-3891 | |
Lauren Forsythe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9600 52nd Way N, Pinellas Park, FL 33782 Phone: 941-807-3875 | |
Jill Michelle Moran, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4419 Park Blvd N, Pinellas Park, FL 33781 Phone: 727-334-7470 | |
Stephanie Elaine Davis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7500 Park Blvd N, Pinellas Park, FL 33781 Phone: 727-544-5437 |