Doctor Name: | MARIAN N BEDFORD |
NPI Number: | 1104033190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ARNP 9258071 |
Business Practice Address: | 315 E Olympia Ave Suite 111 Punta Gorda, FL - 339503833 |
Business Phone Number: | 9416391640 |
Business Fax Number: | 9416379808 |
Mailing Address: | 315 E Olympia Ave, Suite 111 PUNTA GORDA |
State: | FL |
Postal Code: | 339503833 |
Phone Number: | 9416391640 |
Fax Number: | 9416379808 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 11/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP 9258071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |