MAXINE CRAWLEY MARRETTA (NPI# 1922040690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922040690 |
| Entity Type | Individual |
| Full Name | MAXINE CRAWLEY MARRETTA |
| Credential | ARNP-C |
| Practice Address |
790 Veterans Way Pensacola FL 32507-1000 |
| Mailing Address |
2002 Downing Dr Pensacola FL 32505-1860 |
| Practice Telephone | 8509122500 |
| Mailing Telephone | 8509122500 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2010-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3084532 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
790 VETERANS WAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612436 | Marie S Nelson | Podiatrist | 790 Veterans Way, Pensacola, FL 32507 | 2005-07-11 |
| 1730705344 | Heather Jean Stabley | Dietitian, Registered | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-06-19 |
| 1336776889 | Margaret E Effinger | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-03-25 |
| 1528698990 | Morgan Amanda Tolley | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-01-24 |
| 1982259255 | Frances Lee Hoffman | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-08-05 |
| 1548826514 | Dale Willie Mcghee Jr. | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1477119436 | Meghan Lee | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1104482173 | Julia Marissa Thurman | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1093279531 | Joanna Alexandra Gabison | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-01-29 |
| 1760963524 | Hector Zayas | Counselor | 790 Veterans Way, Pensacola, FL 32507-1000 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521725 | Shanna Sowell | Nurse Practitioner | 3510 Dunfries Rd, Pensacola, FL 32503-4237 | 2020-06-08 |
| 1992000566 | Betty Carolyn Brannon | Nurse Practitioner | 10075 Hillview Rd, Pensacola, FL 32514-5469 | 2011-01-12 |
| 1184670424 | Elizabeth Ann Ford | Nurse Practitioner | 4020 Alvar Dr, Pensacola, FL 32504-4405 | 2006-05-26 |
| 1104815455 | Vicki Pauline Merold | Nurse Practitioner | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514 | 2005-10-19 |
| 1730747874 | Jodilyn Grace Holz | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-06-04 |
| 1528528981 | Kasey Mcdowell Bowers | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-03-21 |
| 1750855615 | Hodge & Company LLC | Nurse Practitioner | 235 W Airport Blvd, Pensacola, FL 32505-2239 | 2019-01-14 |
| 1659843951 | Ashleigh Skipper | Nurse Practitioner | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2018-12-26 |
| 1275077307 | Laura Alise Mears | Nurse Practitioner | 1549 Airport Blvd, 440, Pensacola, FL 32504-2266 | 2016-12-08 |
| 1679015457 | Denise Helen Suri | Nurse Practitioner | 1100 Airport Blvd, Blvd. B, Pensacola, FL 32504-8631 | 2016-11-10 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.