MRS. MARYELLEN NEAL ARNP NPI 1508838616

NPI Information

NPI: 1508838616
Provider Name: MRS. MARYELLEN NEAL, ARNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: BAPTIST MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
1354 COUNTRY CLUB RD
GULF BREEZE, FL
ZIP 32563
Phone: (850) 916-1636
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MRS. Maryellen Neal, ARNP is a primary care nurse practitioner in Gulf Breeze, FL with 25 years of experience. MRS. Maryellen Neal, ARNP NPI is 1508838616. 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:

1354 COUNTRY CLUB RD
GULF BREEZE, FL
ZIP 32563-471
Phone: (850) 916-1636
Fax: (850) 916-1350

The NPI 1508838616 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 3/14/2017.

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	1704722	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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