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NPI Code Detail

MEDICARE: MARTHA S FOLSOM ARNP

MEDICARE: MARTHA S FOLSOM 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
1363LF0000XFamily Nurse PractitionerARNP795002FL

Other Identifiers

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

General Provider Information

NPI Number : 1477554186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA S FOLSOM ARNP
Provider Business Mailing Address
First Line : PO BOX 10549
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33733-0549
Country : US
Telephone Number : 727-824-8181
Fax Number :
Provider Business Practice Location Address
First Line : 7550 43RD ST N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3601
Country : US
Telephone Number : 727-824-8181
Fax Number : 727-548-0960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 10/20/2017

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Directions to “ MARTHA S FOLSOM ARNP” Practice Location

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