MARIE MAGDALA PETIT HOMME
NPI 1003212929
Licensed Practical Nurse in Gainesville, FL

Active since November 05, 2014
6815 W UNIVERSITY AVE APT 8204, GAINESVILLE, FL 32607(352) 301-0548 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About MARIE MAGDALA PETIT HOMME

This page provides the complete NPI Profile along with additional information for Marie Magdala Petit Homme, a provider established in Gainesville, Florida with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1003212929 assigned on November 2014. The practitioner's primary taxonomy code is 164W00000X with license number PN5217325 (FL). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1003212929 Verify this NPI
Provider Name
MARIE MAGDALA PETIT HOMME
Gender
Female
Entity Type
Individual
Location Address
6815 W UNIVERSITY AVE APT 8204 GAINESVILLE, FL 32607
Location Phone
(352) 301-0548
Mailing Address
6815 W UNIVERSITY AVE APT 8204 GAINESVILLE, FL 32607
Mailing Phone
(352) 301-0548
Is Sole Proprietor?
No
Enumeration Date
11-05-2014
Last Update Date
11-05-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
PN5217325
License State
FL
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003212929, enumerated as an "individual" on November 05, 2014.

The provider is located at 6815 W UNIVERSITY AVE APT 8204 GAINESVILLE, FL 32607 and the phone number is (352) 301-0548.

Licensed Practical Nurse with taxonomy code 164W00000X.