Provider Demographics
NPI:1568499622
Name:MARCH, ANN MARIE PATRICIA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ANN MARIE
Middle Name:PATRICIA
Last Name:MARCH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 10TH AVE N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3141
Mailing Address - Country:US
Mailing Address - Phone:561-642-1008
Mailing Address - Fax:561-802-3976
Practice Address - Street 1:941 SE 1ST ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-4353
Practice Address - Country:US
Practice Address - Phone:561-996-6156
Practice Address - Fax:561-439-4185
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1431612363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300764200Medicaid