Kladde, Mary Lu

Kladde, Mary Lu is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-4833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kladde, Mary Lu can be contacted via phone (352) 265-0535.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-4833
Phone: (352) 265-0535
Fax: (352) 265-1060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN1704522 Florida

Profile Details

NPI number 1407838873
LBN Legal business name Kladde, Mary Lu
Credentials ARNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 27th, 2020 - about 6 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 1407838873 NPPES
Florida MEDICAID 660119700

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