Mrs Mary Kathleen Miller, DNP, CNM, APRN | |
3511 5th Ave N, Saint Petersburg, FL 33713-7501 | |
(727) 895-2300 | |
Not Available |
Full Name | Mrs Mary Kathleen Miller |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3511 5th Ave N, Saint Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114059169 | NPI | - | NPPES |
3401731 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | ARNP3211042 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | ARNP3211042 (Florida) | Primary |
Entity Name | Womens Care Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Kathleen Miller, DNP, CNM, APRN 13300 Gulf Blvd Apt C, Madeira Beach, FL 33708-2502 Ph: (407) 716-9229 | Mrs Mary Kathleen Miller, DNP, CNM, APRN 3511 5th Ave N, Saint Petersburg, FL 33713-7501 Ph: (727) 895-2300 |
Kari Zinkovich, CNM/APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1344 22nd Street South, Saint Petersburg, FL 33712 Phone: 727-824-8181 | |
Ms. Amy Johnson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6450 38th Ave N, Suite 200, Saint Petersburg, FL 33710 Phone: 727-344-6060 Fax: 727-347-5586 |