Maxine Crawley Marretta, ARNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3084532 Issued in FL

Practice address

790 Veterans Way
Pensacola, FL 32507-1000

Phone

(850) 912-2500

NPI assigned

Jun 10, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1922040690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 DOWNING DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051860",
            "telephone_number": "850-912-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VETERANS WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071000",
            "telephone_number": "850-912-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRETTA",
        "first_name": "MAXINE",
        "middle_name": "CRAWLEY",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3084532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mark, LMHC
• Aidan David Markley, RBT
• Shana Marks-Henry
• Beth S. Maroon
• Timothy Wayne Marquell, PA-C
• Frederick August Marsaw, D.D.S.
• Donnie Leith Marsh-Filipczak, D.M.D.
• Braden Matthew Marsh
• Dominique Jasmine Marshall
• Donna M Marshall, PASTORAL COUNSELOR

• Adult Health Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.