IndividualActive
Mary Ethridge
NPI 1003546136 · Registered Nurse First Assistant · Palm Coast, FL
Mary Ethridge is a Registered Nurse First Assistant provider in Palm Coast, FL (NPI 1003546136).
Provider details
- NPI number
- 1003546136
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9221828 (FL)
Practice location
16 Cedar Point Dr
Palm Coast, FL 32164-4265
Phone: (850) 557-3016
Street-level locationGet directions
Mailing address
16 Cedar Point Dr
Palm Coast, FL 32164-4265
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.