MARY FLORENE RADKE RN LWMC NPI 1679799696

NPI Information

NPI: 1679799696
Provider Name: MARY FLORENE RADKE, RN, LWMC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
500 SAWTELL PL
BRUNSWICK, GA
ZIP 31520
Phone: (912) 265-6413
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Mary Florene Radke, RN, LWMC is a rehabilitation practitioner in Brunswick, GA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Mary Florene Radke, RN, LWMC NPI is 1679799696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 SAWTELL PL
BRUNSWICK, GA
ZIP 31520-224
Phone: (912) 265-6413

The enumeration date for this NPI number is 4/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner			GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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