Provider Demographics
NPI:1295350106
Name:BARON, MARY M (DNP, APRN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:M
Last Name:BARON
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 BRYSON DR STE 301
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0922
Mailing Address - Country:US
Mailing Address - Phone:617-230-2806
Mailing Address - Fax:
Practice Address - Street 1:5500 BRYSON DR STE 301
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0922
Practice Address - Country:US
Practice Address - Phone:239-348-7337
Practice Address - Fax:239-348-7351
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9417853163W00000X
FLAPRN11013325363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse