Ellermeyer-Stapleton, Mary Kathryn

Ellermeyer-Stapleton, Mary Kathryn is an sole proprietor health care provider with primary practice located at 1700 Baker Ave , Haines City FL 33844-8839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ellermeyer-Stapleton, Mary Kathryn can be contacted via phone (863) 421-3204.

Contact Information

Primary practice address
1700 Baker Ave Haines City FL 33844-8839
Phone: (863) 421-3204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP2513482 Florida

Profile Details

NPI number 1710284617
LBN Legal business name Ellermeyer-Stapleton, Mary Kathryn
Credentials ARNP-C, ANP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2011
Last updated Sep 20th, 2016 - about 10 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 1710284617 NPPES
Florida MEDICAID 014115400

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