Oberley, Mindy
Oberley, Mindy is an individual health care provider with primary practice located at 2010 59Th St W Ste 2200 , Bradenton FL 34209-4689. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Oberley, Mindy can be contacted via phone (941) 794-5621.Contact Information
Primary practice address
2010 59Th St W Ste 2200
Bradenton FL 34209-4689
Phone: (941) 794-5621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4727-23 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1013578467 |
|---|---|
| LBN Legal business name | Oberley, Mindy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2019 |
| Last updated | Oct 18th, 2024 - about 2 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 | 1013578467 | NPPES |
| Wisconsin | Other | 4727-23 | STATE LICENSE |
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