Adeline Marcellus Aime
Individual provider Active NPI Nurse Practitioner · Ellenton, FL
NPI 1548092661 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1548092661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11034691 (FL)
- Practice address
- 5970 Willows Bridge Loop
Ellenton, FL 34222-5217 - Phone
- (239) 878-8642
- NPI assigned
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| APRN11034691 | FL | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11034691 | FL | Yes |
Addresses
Primary practice location
5970 Willows Bridge Loop
Ellenton, FL 34222-5217
Mailing address
1631 Heathermoor Way
Dacula, GA 30019-7252
Phone (239) 878-8642
Other practice location 1
1631 Heathermoor Way
Dacula, GA 30019-7252
Phone (239) 878-8642
Other providers in Ellenton, FL
- 180 Counseling Group LLC
- A Healing Experience LLC
- A Healing Experience, LLC
- Zaynab Abbour
- Advance Care RX LLC
- Sini Augustine
- Shervon Katrina Bailey
- Juliet C Barnard
- Alexandra Benninger
- David Glenn Blackmon
All providers in Ellenton, FL · 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 Aug 16, 2024. 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.