MRS. MARY CATHERINE BROGDON L.P.N - NPI 1972792240 - Licensed Practical Nurse in Valparaiso, FL

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Mrs. Mary Catherine Brogdon L.p.n NPPES

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

MRS. MARY CATHERINE BROGDON L.P.N (NPI 1972792240) is an individual licensed practical nurse in Valparaiso, Florida, licensed in Florida (PN373341) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1972792240

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. MARY CATHERINE BROGDONCredential: L.P.N

Location Address379 EDGE AVEValparaiso, FL 32580-1033

Mailing Address221 Hospital Dr NeFort Walton Beach, FL 32548-5066 · (850) 833-9240

Phone(850) 833-4125

Fax(850) 833-4177

Sole ProprietorNo

Enumeration DateOctober 23, 2007

✔ NPI 1972792240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN373341

Definition

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.

379 EDGE AVE, Valparaiso, FL 32580

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Frequently Asked Questions

What is Mary Brogdon's NPI number?

The NPI number assigned to this healthcare provider is 1972792240, enumerated as an "individual" on October 23, 2007.

Where is the provider located?

The provider is located at 379 EDGE AVE VALPARAISO, FL 32580 and the phone number is (850) 833-4125.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.