MARY ETHRIDGE
NPI 1003546136
Registered Nurse - Registered Nurse First Assistant in Palm Coast, FL

Q: What is Mary Ethridge's NPI number?

The NPI number for Mary Ethridge is 1003546136. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is Mary Ethridge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Registered Nurse First Assistant, with taxonomy code 163WR0006X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ethridge was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2022

16 CEDAR POINT DR, PALM COAST, FL 32164(850) 557-3016 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary Ethridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ETHRIDGE (NPI 1003546136) is an individual registered nurse first assistant in Palm Coast, Florida, licensed in Florida (9221828) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1003546136

Entity TypeIndividualFemale

Primary Taxonomy163WR0006X

Provider Legal NameMARY ETHRIDGE

Location Address16 CEDAR POINT DRPalm Coast, FL 32164-4265

Mailing Address16 Cedar Point DrPalm Coast, FL 32164-4265

Phone(850) 557-3016

Sole ProprietorYes

Enumeration DateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1003546136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Registered Nurse First AssistantNursing Service Providers

Taxonomy Code163WR0006X

License✔ Licensed in FL · 9221828

Definition

A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.

16 CEDAR POINT DR, Palm Coast, FL 32164

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ethridge's NPI number?

The NPI number for Mary Ethridge is 1003546136. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Mary Ethridge located?

Mary Ethridge practices at 16 Cedar Point Dr, Palm Coast, FL 32164. The listed phone number is (850) 557-3016.

What is Mary Ethridge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Registered Nurse First Assistant, with taxonomy code 163WR0006X.

When was this NPI record last updated?

The NPPES record for Mary Ethridge was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.