Healthcare Provider Details

I. General information

NPI: 1255323523
Provider Name (Legal Business Name): MARGARET NEMETHY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 W HIBISCUS BLVD
MELBOURNE FL
32901-2616
US

IV. Provider business mailing address

1755 W HIBISCUS BLVD
MELBOURNE FL
32901-2616
US

V. Phone/Fax

Practice location:
  • Phone: 321-724-5437
  • Fax: 321-724-5570
Mailing address:
  • Phone: 321-724-5437
  • Fax: 321-724-5570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP 1614212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: