Marjory W Quammie, ARNP
Individual provider Active NPI Women's Health Nurse Practitioner · Daytona Beach, FL
NPI 1063473262 · NPPES record last updated Dec 13, 2012
Key facts
- NPI
- 1063473262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- ARNP 1492332 (FL)
- Practice address
- 1845 Holsonback Dr
Daytona Beach, FL 32117-5114 - Phone
- (386) 274-0790
- Fax
- (386) 274-0800
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1492332 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Dept. of Health | Past | Accepting new patients | |
| Florida Department of Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | ARNP 1492332 | FL | Yes |
Addresses
Primary practice location
1845 Holsonback Dr
Daytona Beach, FL 32117-5114
Mailing address
PO Box 9190
Daytona Beach, FL 32120-9190
Phone (386) 274-0790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301357001 | Medicaid | FL |
Other providers in Daytona Beach, FL
- Crystal Purple
- Vadim Purygin
- Hoon Pyon
- Ozair Kamran Qazi
- Otakar Quadrat
- Sylvia S. Quandt
- Robbin J Quarterman
- Mathew David Quattrocelli
- David Queally
- Genova Zenaida Quiles Colon
All providers in Daytona Beach, FL · Women's Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.