Healthcare Provider Details

I. General information

NPI: 1942074067
Provider Name (Legal Business Name): MARIAH STRINGFIELD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 W BALDWIN RD STE C
PANAMA CITY FL
32405-3359
US

IV. Provider business mailing address

3775 CEDAR PARK DR
PANAMA CITY FL
32404-3816
US

V. Phone/Fax

Practice location:
  • Phone: 850-769-0329
  • Fax: 844-563-8135
Mailing address:
  • Phone: 785-844-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11042256
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: