MEDICARE: MARY M BARON DNP, APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9417853	FL
2	363L00000X	Nurse Practitioner	APRN11013325	FL

General Provider Information

NPI Number	:	1295350106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY M BARON DNP, APRN

Provider Business Mailing Address
First Line	:	5435 PARK CENTRAL CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-6002
Country	:	US
Telephone Number	:	239-348-7337
Fax Number	:	239-348-7391

Provider Business Practice Location Address
First Line	:	5435 PARK CENTRAL CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-6002
Country	:	US
Telephone Number	:	239-348-7337
Fax Number	:	239-348-7391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2020
Last Update Date	:	12/02/2025

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