Gerdesmeier, Mark A

Gerdesmeier, Mark A is an individual health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1644. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Gerdesmeier, Mark A can be contacted via phone (270) 825-5100.

Contact Information

Primary practice address
900 Hospital Dr Madisonville KY 42431-1644
Phone: (270) 825-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26846 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3007284 Kentucky

Profile Details

NPI number 1336419993
LBN Legal business name Gerdesmeier, Mark A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2012
Last updated Sep 22nd, 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 1336419993 NPPES
Kentucky Other P01065071 RR MEDICARE

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