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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARDIS H HARRELL CRNA
NPI 1316949126
Registered Nurse in Fort Walton Beach, FL

Active since August 11, 2005
928 MAR WALT DR, SUITE 201, FORT WALTON BEACH, FL 32547(850) 862-4377(850) 862-6015 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mardis H Harrell Crna NPPES

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

MARDIS H HARRELL CRNA (NPI 1316949126) is an individual registered nurse in Fort Walton Beach, Florida, licensed in Florida (ARNP 2135062) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1316949126
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMARDIS H HARRELLCredential: CRNA
Location Address928 MAR WALT DR, SUITE 201Fort Walton Beach, FL 32547-6706
Mailing Address123 Clifford DrShalimar, FL 32579-1251 · (850) 651-5313
Phone(850) 862-4377
Fax(850) 862-6015
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1316949126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in FL · ARNP 2135062
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
928 MAR WALT DR, Fort Walton Beach, FL 32547
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHONDA D CLARK CRNA
Nurse Anesthetist, Certified Registered
928 MAR WALT DR, SUITE 201
FT WALTON BEACH, FL 32547
Okaloosa County (850) 862-4377
DEBORAH NOETHEN
Physical Therapist
928 MAR WALT DR, SUITE 104
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-4747
DON E MILLER CRNA
Registered Nurse
928 MAR WALT DR, SUITE 201
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-4377
MISS ANDREA K LYNCH ATC/L
Specialist/Technologist (Athletic Trainer)
928 MAR WALT DR, SUITE 104
FT WALTON BEACH, FL 32547
Okaloosa County (850) 218-0210
SELINA THERESE MANTANONA PT, DPT
Physical Therapist
928 MAR WALT DR, SUITE #103
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-7580
MARY NEWCOMER
Physical Therapist
928 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (550) 863-4747
FRANCIS C.F. DECROOS MD
Anesthesiology
928 MAR WALT DR, SUITE 201
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-4377
JONI MARQUARDT
Physical Therapist
928 MAR WALT DR, SUITE 104
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-4747

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 Mardis Harrell's NPI number?

The NPI number for Mardis Harrell is 1316949126. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Mardis Harrell located?

Mardis Harrell practices at 928 Mar Walt Dr Suite 201, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-4377.

What is Mardis Harrell's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Mardis Harrell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.