Marie Petiote, APRN | |
674 Cecelia Ave Se, Palm Bay, FL 32909-4401 | |
(321) 261-1058 | |
Not Available |
Full Name | Marie Petiote |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 674 Cecelia Ave Se, Palm Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245930981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11017019 (Florida) | Primary |
207Q00000X | Family Medicine | APRN11017019 (Florida) | Secondary |
Entity Name | Glomar Medical Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053913095 PECOS PAC ID: 0244644862 Enrollment ID: O20210122000268 |
Entity Name | Ertha Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790552875 PECOS PAC ID: 9032553250 Enrollment ID: O20240215002778 |
Mailing Address | Practice Location Address |
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Marie Petiote, APRN 674 Cecelia Ave Se, Palm Bay, FL 32909-4401 Ph: (321) 261-1058 | Marie Petiote, APRN 674 Cecelia Ave Se, Palm Bay, FL 32909-4401 Ph: (321) 261-1058 |
Sandra L Armstrong, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-312-3462 Fax: 321-409-6812 | |
Ms. Beverley W. Spalding, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 Daton Rd Sw, Palm Bay, FL 32908 Phone: 321-723-4820 | |
Dr. Melissa Ann Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 490 Centre Lake Dr Ne Ste 200b, Palm Bay, FL 32907 Phone: 530-788-6901 Fax: 321-394-9425 | |
Mrs. Pierrela Mikael Longchamp, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 811 Dateland Rd Se, Palm Bay, FL 32909 Phone: 754-244-3241 | |
Keri Beth Gagnon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Malabar Rd Se Ste 2, Palm Bay, FL 32907 Phone: 321-802-6590 | |
Jose Rodriguez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6080 Babcock St Se, Palm Bay, FL 32909 Phone: 321-409-3073 | |
Marcia Ramsay, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 Newbern St Ne, Palm Bay, FL 32905 Phone: 321-960-5972 |