Gercken-Thurston, Myra Ann

Gercken-Thurston, Myra Ann is an sole proprietor health care provider with primary practice located at 3712 Cardinal Blvd , Daytona Beach FL 32118-7204. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Gercken-Thurston, Myra Ann can be contacted via phone (386) 290-2911.

Contact Information

Primary practice address
3712 Cardinal Blvd Daytona Beach FL 32118-7204
Phone: (386) 290-2911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1548966294
LBN Legal business name Gercken-Thurston, Myra Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2023
Last updated Feb 3rd, 2023 - about 3 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 1548966294 NPPES
Florida Other T62554763506-0 DRIVERS LIC
Florida Other 108736147 DRIVERS LIC

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