Peterzell, Marcia Kay

Peterzell, Marcia Kay is an individual health care provider with primary practice located at 1275 W Granada Blvd. Ste 3A Coastal Pediatrics Llc, Ormond Beach FL 32174. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peterzell, Marcia Kay can be contacted via phone (386) 672-1490.

Contact Information

Primary practice address
1275 W Granada Blvd. Ste 3A Coastal Pediatrics Llc Ormond Beach FL 32174
Phone: (386) 672-1490
Fax: (386) 672-1682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN3136772 Florida

Profile Details

NPI number 1598919714
LBN Legal business name Peterzell, Marcia Kay
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Jan 7th, 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 1598919714 NPPES
Florida Other ARNP3136772 STOFFL/DOH

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