MARY FRANCES DEDMON ARNP NPI 1376678748

NPI Information

NPI: 1376678748
Provider Name: MARY FRANCES DEDMON, ARNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
780 SW 24TH ST
MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL
ZIP 33315
Phone: (954) 467-4822
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Mary Frances Dedmon, ARNP is a primary care nurse practitioner in Fort Lauderdale, FL. Mary Frances Dedmon, ARNP NPI is 1376678748. 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:

780 SW 24TH ST
MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL
ZIP 33315-643
Phone: (954) 467-4822

The enumeration date for this NPI number is 2/23/2007 and was last updated on 1/28/2013.

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	363LP2300X	Nurse Practitioner	Primary Care	ARNP1144052	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3044262-00	MEDICAID	FLORIDA
2	E4982Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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