Anne Marie Aprn Llc | |
2253 Goldenrod St Sarasota FL 34239-5318 | |
(941) 266-1922 | |
Not Available |
Full Name | Anne Marie Aprn Llc |
---|---|
Speciality | Clinic/Center |
Location | 2253 Goldenrod St, Sarasota, Florida |
Authorized Official Name and Position | Anne Marie Jetton (OWNER) |
Authorized Official Contact | 9412661922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anne Marie Aprn Llc 2253 Goldenrod St Sarasota FL 34239-5318 Ph: (941) 266-1922 | Anne Marie Aprn Llc 2253 Goldenrod St Sarasota FL 34239-5318 Ph: (941) 266-1922 |
NPI Number | 1003562257 |
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Provider Enumeration Date | 02/25/2022 |
Last Update Date | 05/20/2022 |
Medicare PECOS PAC ID | 8325426737 |
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Medicare Enrollment ID | O20220525001886 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003562257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Anne M Jetton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851050371 PECOS PAC ID: 2062803885 Enrollment ID: I20220407001463 |
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