Provider Demographics
NPI:1689422727
Name:PAREDES, MARIVIE (RN)
Entity type:Individual
Prefix:MS
First Name:MARIVIE
Middle Name:
Last Name:PAREDES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S BLAIR STONE RD APT 208
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-3025
Mailing Address - Country:US
Mailing Address - Phone:850-566-6600
Mailing Address - Fax:
Practice Address - Street 1:501 S BLAIR STONE RD APT 208
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-3025
Practice Address - Country:US
Practice Address - Phone:850-566-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9591174163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical