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Individual
MARY NELL ANKER
Active
Individual
MARY NELL ANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200950121NP
OR
363LA2200X
Adult Health Nurse Practitioner
200950121NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01948232
—
NY
01
—
1407812365
NBMC GROUP NPI NUMBER
OR
01
—
161133
NBMC GROUP MEDICAID NUMBER
OR
01
—
930635514
NBMC GROUP TAX ID FOR BILLING
OR
01
—
R0000WFBTV
NBMC GROUP MEDICARE NUMBER
OR
Enumeration date
10/14/2005
Last updated
05/20/2013
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