MARY E VONMERVELDT


Address: 204 E Palmetto St, Wauchula, FL 33873-2732
Phone: 8637732111

MARY E VONMERVELDT (NPI# 1831330604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831330604
Entity Type Individual
Full Name MARY E VONMERVELDT
Other Name MARY E SHREVE
Credential ARNP
Practice Address 204 E Palmetto St
Wauchula
FL 33873-2732
Mailing Address 950 County Road 17a W
Avon Park
FL 33825-2164
Practice Telephone 8637732111
Practice Fax Number 8637733284
Mailing Telephone 8634523000
Mailing Fax Number 8634523077
Enumeration Date 2009-03-09
Last Update Date 2009-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
ARNP9267080 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 204 E PALMETTO ST
City WAUCHULA
State FL
Zip Code 33873-2732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912994914 Angela M Cooper Dentist 204 E Palmetto St, Wauchula, FL 33873-2732 2005-10-04
1144862152 Evan Mae Llupar Lachica Nurse Practitioner 204 E Palmetto St, Wauchula, FL 33873-2732 2019-10-10
1821553991 Maria Villeda Dental Hygienist 204 E Palmetto St, Wauchula, FL 33873-2732 2019-02-04
1508229709 Amelia Lazayre Knight Nurse Practitioner 204 E Palmetto St, Wauchula, FL 33873-2732 2016-04-04
1609004902 Andrew Hein Family Medicine 204 E Palmetto St, Wauchula, FL 33873-2732 2009-06-24
1811156672 Central Florida Health Care Inc Clinic/Center 204 E Palmetto St, Wauchula, FL 33873-2732 2008-06-06
1821286287 Karen E Mckenzie Dentist 204 E Palmetto St, Wauchula, FL 33873-2732 2007-10-11
1639105661 Yanitt Grisel Lozada Perez General Practice 204 E Palmetto St, Wauchula, FL 33873-2732 2006-06-23

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NPI Name Taxonomy Address Enumeration
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1609261056 Gloria Jean Shackelford Massage Therapist 114 W Orange St, Wauchula, FL 33873 2015-04-02
1790116911 Central Florida Health Care, Inc. Clinic/Center 121 Kd Revell Road, Wauchula, FL 33873 2013-12-13
1386902252 Peaceful Mental Health Asociate, LLC Counselor 105 South 9th Ave., Wauchula, FL 33873 2012-04-30
1962672105 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 301 S. 6th Ave, Wauchula, FL 33873 2008-03-04
1225249667 Magali Bobe Physical Therapist 1330 Highway.17 South, Wauchula, FL 33873 2007-05-25
1285849075 Dentalcentre of West Fl. Pa Dentist 203 South 7th Ave, Wauchula, FL 33873 2007-05-14
1275680324 Douglas Oliver Smith Occupational Therapist 1330 Highway 17 South, Wauchula, FL 33873 2007-01-04
1649354713 Hardee Countyboard of County Commissioners Ambulance 149 Kd Revell Rd, Wauchula, FL 33873 2006-10-25
1194810879 John Ash Case Manager/Care Coordinator 213 E Orange Street, Suite B Peace River Center, Wauchula, FL 33873 2006-10-04
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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1730789322 Michelle Yen-vera Nurse Practitioner 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 2020-11-01
1376143487 Aimee N Jorgenson Stough Nurse Practitioner 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 2020-10-28
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1073131850 Olivia Dawn Wilson Nurse Practitioner 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 2020-07-08
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Competitor

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City WAUCHULA
Zip Code 33873

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Dataset Information

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.

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