Medard, Guirlene Bastien
Medard, Guirlene Bastien is an sole proprietor health care provider with primary practice located at 5664 Sw 60Th Ave , Ocala FL 34474-5677. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Medard, Guirlene Bastien can be contacted via phone (813) 666-2714.Contact Information
Primary practice address
5664 Sw 60Th Ave
Ocala FL 34474-5677
Phone: (813) 666-2714
Fax: (352) 565-4131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9353569 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN9353569 | Florida |
Profile Details
| NPI number | 1790346732 |
|---|---|
| LBN Legal business name | Medard, Guirlene Bastien |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2019 |
| Last updated | Nov 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790346732 | NPPES |
| Florida | MEDICAID | 116101400 |
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