MRS. ALFREDA RENNAE MARSHALL (NPI# 1811965189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811965189 |
| Entity Type | Individual |
| Full Name | MRS. ALFREDA RENNAE MARSHALL |
| Credential | A.R.N.P. |
| Practice Address |
530 Zeagler Dr Suite #2 Palatka FL 32177-6855 |
| Practice Telephone | 3863250826 |
| Practice Fax Number | 3863256419 |
| Mailing Telephone | 3863250826 |
| Mailing Fax Number | 3863256419 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
ARNP3212052 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
530 ZEAGLER DR SUITE #2 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-6855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717470 | Miguel M Limeres Jr. | Internal Medicine | 530 Zeagler Dr, Suite 102, Palatka, FL 32177-6856 | 2005-08-22 |
| 1609268077 | Miles C Anderson, Md | Internal Medicine | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2015-02-23 |
| 1467524298 | John L Gaines Jr Md Pa | Internal Medicine | 530 Zeagler Dr, Ste A, Palatka, FL 32177-6855 | 2006-11-15 |
| 1932271541 | John Alan Walsh | Surgery | 530 Zeagler Dr, Suite 3, Palatka, FL 32177-6855 | 2006-11-15 |
| 1275589152 | John A Walsh Md Pa | Specialist | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2006-05-25 |
| 1508847021 | John L Gaines Jr. | Internal Medicine | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770685927 | Rose Marie Watts | Nurse Practitioner | 6100 Saint Johns Ave Ste 6, Palatka, FL 32177 | 2006-09-01 |
| 1871981316 | Wendy Pauline Cox | Nurse Practitioner | 6100 Saint Johns Ave Ste 6, Palatka, FL 32177-6859 | 2015-01-07 |
| 1255300620 | Denise Marie Townsend | Nurse Practitioner | 2801 Kennedy St, Palatka, FL 32177-4109 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774807 | Kiz Tosi | Nurse Practitioner | 419 Peoria Blvd, Crestview, FL 32536-2248 | 2019-01-14 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1235648296 | Lindsay Danielle Leider | Nurse Practitioner | 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 | 2017-09-21 |
| 1720516974 | Polina Goldenberg | Nurse Practitioner | 1001 Nw 13th St Ste 101a, Boca Raton, FL 33486-2269 | 2017-06-01 |
| 1780044750 | Cherie Gordon | Nurse Practitioner | 2818 W Virginia Avenue, Tampa, FL 33607 | 2016-03-03 |
| 1487032967 | Doris Washington Tucker | Nurse Practitioner | 15013 Sw 110th Ter, Miami, FL 33196-2599 | 2015-05-15 |
| 1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
| 1538587332 | Midwife360, LLC | Nurse Practitioner | 332 W Boynton Beach Blvd # 3, Boynton Beach, FL 33435 | 2014-03-31 |
| 1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
| 1407122088 | Gloria Scheiner | Nurse Practitioner | 339 Mcintosh Ave, Orange Park, FL 32073-4831 | 2012-03-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.