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MARINA NIKOLAYEVNA PODOLSKIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP/ CNM

Contact information

Practice address
3410 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8112
(941) 251-8477
Mailing address
2439 BEE RIDGE RD, SARASOTA, FL 34239-6304
(941) 222-2146
(941) 378-9120

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
2020026950
MO
367A00000X
Advanced Practice Midwife
AP60863109
WA
367A00000X
Advanced Practice Midwife
Primary
APRN11032140
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11032140
FL STATE APRN CNM LICENSE
FL
01
2020026103
MO MULTI-STATE COMPACT RN LICENSE
MO
05
2108562
WA
01
AP60863109
WA STATE ARNP LICENSE
WA
01
CNM04878
AMERICAN MIDWIFERY CERTIFICATION BOARD (AMCB)
01
RN60025099
WA STATE DEPT OF HEALTH, RN LICENSE
WA
Enumeration date
04/03/2015
Last updated
02/26/2025
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