Maria Breanne Lowery Walker, APRN
Individual provider Active NPI Family Nurse Practitioner · Bradenton, FL
NPI 1164077350 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1164077350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11003372 (FL)
- Practice address
- 1414 59TH Street West
Bradenton, FL 34209-4607 - Phone
- (941) 761-0663
- Fax
- (941) 761-3347
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201005000574 | FL | Practitioner - Nurse Practitioner | 6103245576 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003372 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Pediatrics | Current |
Accepting new patients | |
| Saving Lives Medical LLC | Current |
Accepting new patients |
Locations
5857 21st Ave W
#A
Bradenton, FL 34209
Phone (941) 241-8015
1414 59th St W
Bradenton, FL 34209
Phone (941) 761-0663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003372 | FL | Yes |
Addresses
Primary practice location
1414 59TH Street West
Bradenton, FL 34209-4607
Mailing address
1414 59TH Street West
Bradenton, FL 34209-4607
Phone (941) 761-0663
Other practice location 1
4102 91st Ave E
Parrish, FL 34219-2201
Phone (941) 773-0889
Other names
- Maria Breanne Lowery
Other providers in Bradenton, FL
- Walgreen Co
- Walgreens
- Evadney E Walker-Avoine
- Cameron Walker
- Laura Brink Walker
- Meadow L. Walker
- Nelsie Eneida Walker
- Shanaria Walker
- Makiesha Wallace-Watson
- Beverly Wallace
All providers in Bradenton, FL · Family 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 May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.