Provider Demographics
NPI:1356486609
Name:PATIENCE CORNER NURSE-MIDWIFERY CANTER
Entity Type:Organization
Organization Name:PATIENCE CORNER NURSE-MIDWIFERY CANTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOUANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLEBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-378-2882
Mailing Address - Street 1:717 SW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-6457
Mailing Address - Country:US
Mailing Address - Phone:352-378-2882
Mailing Address - Fax:352-377-8250
Practice Address - Street 1:717 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6457
Practice Address - Country:US
Practice Address - Phone:352-378-2882
Practice Address - Fax:352-377-8250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL285261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB0039OtherBLUE CROSS BLUE SHIELD