Individual
MARY KATHRYN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3441 SE WILLOGHBY BLVD, STUART, FL 34994-5060
(772) 219-1080
(561) 472-9690
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 472-9692
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN3403272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301318900
—
FL
Enumeration date
07/04/2006
Last updated
03/18/2019
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