Podolskiy, Marina Nikolayevna

Podolskiy, Marina Nikolayevna is an individual health care provider with primary practice located at 3410 Tamiami Trl , Port Charlotte FL 33952-8112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Podolskiy, Marina Nikolayevna can be contacted via phone (941) 251-8477.

Contact Information

Primary practice address
3410 Tamiami Trl Port Charlotte FL 33952-8112
Phone: (941) 251-8477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2020026950 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60863109 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11032140 Florida

Profile Details

NPI number 1124413323
LBN Legal business name Podolskiy, Marina Nikolayevna
Credentials ARNP/ CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2015
Last updated Feb 26th, 2025 - about last year

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 1124413323 NPPES
Missouri Other 2020026103 MO MULTI-STATE COMPACT RN LICENSE
Missouri MEDICAID 2108562 MO MULTI-STATE COMPACT RN LICENSE
Missouri Other 11032140 MO MULTI-STATE COMPACT RN LICENSE
Missouri Other AP60863109 MO MULTI-STATE COMPACT RN LICENSE
Missouri Other CNM04878 MO MULTI-STATE COMPACT RN LICENSE
Missouri Other RN60025099 MO MULTI-STATE COMPACT RN LICENSE

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