Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ETHRIDGE
Active Sole ProprietorMARY ETHRIDGE is a Registered Nurse First Assistant healthcare provider located in PALM COAST, Florida. NPI 1003546136 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse First Assistant · PALM COAST, FL
Registration Details
- NPI Number
- 1003546136
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2022 (4.2023751037854 yrs)
- Last Updated
- Jun 13, 2022
- License
-
9221828 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16 CEDAR POINT DRPALM COAST, FL, 321644265Browse FL providers · Browse ZIP 32164
- Phone
- 8505573016
- Primary Specialty
-
Registered Nurse First Assistant
163WR0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.