Individual
MARY KATE WASILENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6801 AIRPORT BLVD, MOBILE, AL 36608-3709
(251) 266-1951
Mailing address
1894 PAUL DAVID DR, BILOXI, MS 39532-6302
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1-200473
AL
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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