Mitchell Drew Martineau in Fort Walton Beach - Nurse Practitioner
Mitchell Drew Martineau - NPI 1417994815
Mitchell Drew Martineau is a Nurse Practitioner in Fort Walton Beach, Florida. Mitchell Drew Martineau practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mitchell Drew Martineau is 1417994815. The last update date is 2019-10-17.
Mitchell Drew Martineau's current location address is 1032 Mar Walt Drive, Fort Walton Beach, Florida. You can contact this provider via phone number 8508638260 and fax number 8508626098. The mailing address for Mitchell Drew Martineau is 1032 Mar Walt Drive, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mitchell Drew Martineau |
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Address | 1032 Mar Walt Drive, Fort Walton Beach, Florida |
Phone Number | 8508638260 |
Fax Number | 8508626098 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1417994815 |
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Provider Enumeration Date | 2006-06-02 |
Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
Address | 1032 Mar Walt Drive |
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City | Fort Walton Beach |
State | Florida (FL) |
Post Code | 325476661 |
Phone Number | 8508638260 |
Fax Number | 8508626098 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | APRN11003748 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Mitchell Drew Martineau's 1417994815?
The Mitchell Drew Martineau's NPI (National Provider Identifier) Number is 1417994815. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mitchell Drew Martineau?
The Mitchell Drew Martineau is situated at 1032 Mar Walt Drive, in the city of Fort Walton Beach, state of FL, with the zip code 325476661.
What is Mitchell Drew Martineau's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mitchell Drew Martineau is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Mitchell Drew Martineau receive its 1417994815 assignment from the Centers for Medicare & Medicaid Services?
The Mitchell Drew Martineau was assigned its 1417994815 by the Centers for Medicare & Medicaid Services on 2006-06-02.
As of what date was the information regarding Mitchell Drew Martineau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mitchell Drew Martineau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-17.