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MARY PATRICIA ETTARI MPH, PA-C
NPI 1710068606
Physician Assistant in Stuart, FL

Active since October 18, 2006
816 SE OCEAN BLVD, STUART, FL 34994(772) 286-5551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Patricia Ettari Mph, Pa-c NPPES

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

MARY PATRICIA ETTARI MPH, PA-C (NPI 1710068606) is an individual physician assistant in Stuart, Florida, licensed in Florida (PA2194) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1710068606
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY PATRICIA ETTARICredential: MPH, PA-C
Location Address816 SE OCEAN BLVDStuart, FL 34994-2428
Mailing Address816 Se Ocean BlvdStuart, FL 34994-2428 · (772) 286-5551
Phone(772) 286-5551
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710068606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA2194
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
816 SE OCEAN BLVD, Stuart, FL 34994
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Other Identifiers 2

Medicare ID-Type UnspecifiedE0281
Medicare UPINS50468FL

Other Providers at the Same Location NPPES 4

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

WALTER D. DEVAULT III M.D. P.A.
Internal Medicine
816 SE OCEAN BLVD
STUART, FL 34994
Martin County (772) 286-5551
MS. VERA RASTRELLI APRN
Nurse Practitioner (Primary Care)
816 SE OCEAN BLVD
STUART, FL 34994
Martin County (772) 260-5066
DR. WALTER D DEVAULT III M.D.
Internal Medicine
816 SE OCEAN BLVD
STUART, FL 34994
Martin County (772) 286-5551
MOORE PRIMARY CARE LLC
Nurse Practitioner (Family)
816 SE OCEAN BLVD, SUITE B
STUART, FL 34994
Martin County (772) 220-0033

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 Ettari's NPI number?

The NPI number for Mary Ettari is 1710068606. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Mary Ettari located?

Mary Ettari practices at 816 SE Ocean Blvd, Stuart, FL 34994. The listed phone number is (772) 286-5551.

What is Mary Ettari's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Ettari was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.