Mary Florida, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN240874L Issued in PA

Practice address

Department of Veteran Affiars
212 Willow Valley Lakes Drive
Willow Street, PA 17584

Phone

(484) 740-4434

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1295293603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 EISENHOWER AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196051547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF VETERAN AFFIARS",
            "address_2": "212 WILLOW VALLEY LAKES DRIVE",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "17584",
            "telephone_number": "484-740-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIDA",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN240874L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIONAL",
            "identifier": "UNKNOWN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Elia, RDN, LDN
• Kamal A. Elliot, AU.D.
• Eric W. Howard DMD, PC
• Melanie Marie Falgout, M.D.
• Kent V Flinchbaugh, DPM
• Stefanie Ruth Flynn
• Judith Ann Foster
• Richard P Frey, DO
• Lawrence M George, LSW
• Marina Gonzalez, MD

• Registered Nurse in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.