Ezell, Gail Marie

Ezell, Gail Marie is an individual health care provider with primary practice located at 357 Wekiva Springs Rd , Longwood FL 32779-3607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ezell, Gail Marie can be contacted via phone (321) 280-5867.

Contact Information

Primary practice address
357 Wekiva Springs Rd Longwood FL 32779-3607
Fax: (407) 774-1877
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9328363 Florida

Profile Details

NPI number 1891745055
LBN Legal business name Ezell, Gail Marie
Credentials MSN,RN,CPNP,ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 17th, 2022 - about 4 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 1891745055 NPPES
Missouri MEDICAID 425769700
Missouri MEDICAID 0039996800

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