Nedospasova, Marina Victorovna

Nedospasova, Marina Victorovna is an individual health care provider with primary practice located at Winn Army Community Hospital 1061 Harmon Ave, Fort Stewart GA 31314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nedospasova, Marina Victorovna can be contacted via phone (912) 435-5687.

Contact Information

Primary practice address
Winn Army Community Hospital 1061 Harmon Ave Fort Stewart GA 31314
Phone: (912) 435-5687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-138584 Alabama

Profile Details

NPI number 1043689490
LBN Legal business name Nedospasova, Marina Victorovna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2015
Last updated Sep 10th, 2021 - about 5 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 1043689490 NPPES
Arizona Other AP8698 LICENSE

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