Immordino, Monica M
Immordino, Monica M is an individual health care provider with primary practice located at 20 Blanding Blvd , Orange Park FL 32073-2235. She 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Immordino, Monica M can be contacted via phone (904) 773-8977.Contact Information
Primary practice address
20 Blanding Blvd
Orange Park FL 32073-2235
Phone: (904) 773-8977
Fax: (904) 773-8974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R114730 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN9426913 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN9426913 | Florida |
Profile Details
| NPI number | 1831263243 |
|---|---|
| LBN Legal business name | Immordino, Monica M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Mar 2nd, 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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