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NPI Code Detail

MEDICARE: MARY CHERYL ALLEY ARNP

MEDICARE: MARY CHERYL ALLEY ARNP
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
1363LN0000XNeonatal Nurse PractitionerARNP1460212FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y8543OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598741704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CHERYL ALLEY ARNP
Provider Business Mailing Address
First Line : PO BOX 17540
Second Line :
City : PLANTATION
State : FL
Zip : 33318-7540
Country : US
Telephone Number : 954-838-2371
Fax Number :
Provider Business Practice Location Address
First Line : 1901 SW 172ND AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33029-5592
Country : US
Telephone Number : 954-538-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 07/08/2007

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