| Advanced Practice Nursing Services, LLC | |
|
565 Memorial Cir Ormond Beach FL 32174-5001 | |
| (386) 310-8766 | |
| (386) 310-8770 |
| Full Name | Advanced Practice Nursing Services, LLC |
|---|---|
| Speciality | Psychologist |
| Location | 565 Memorial Cir, Ormond Beach, Florida |
| Authorized Official Name and Position | Marifrances Christine Gullo (OWNER) |
| Authorized Official Contact | 3863108766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Practice Nursing Services, LLC 565 Memorial Cir Ormond Beach FL 32174-5001 Ph: (386) 310-8766 | Advanced Practice Nursing Services, LLC 565 Memorial Cir Ormond Beach FL 32174-5001 Ph: (386) 310-8766 |
| NPI Number | 1720356512 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Medicare PECOS PAC ID | 3072775972 |
|---|---|
| Medicare Enrollment ID | O20120509000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720356512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | ARNP2530742 (Florida) | Primary |
| Provider Name | Maria E Masferrer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225121411 PECOS PAC ID: 9032202247 Enrollment ID: I20070904000655 |
| Provider Name | Nadia Simplice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699131854 PECOS PAC ID: 2365718970 Enrollment ID: I20171026002395 |
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