Provider Demographics
NPI:1255791687
Name:MAJETICH, MARY-ELLA PATRICIA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARY-ELLA
Middle Name:PATRICIA
Last Name:MAJETICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARY-ELLA
Other - Middle Name:PATRICIA
Other - Last Name:FREDRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1601 SW ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1135
Mailing Address - Country:US
Mailing Address - Phone:904-742-2081
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:904-742-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9356069163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163W00000XNursing Service ProvidersRegistered Nurse