Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ethridge

Individual provider Registered Nurse First Assistant · NPI 1003546136

Mary Ethridge is a Registered Nurse First Assistant in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

16 Cedar Point Dr
Palm Coast, FL 32164-4265
Phone: (850) 557-3016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 9221828 (FL)

Record details

NPI number1003546136
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address16 Cedar Point Dr, Palm Coast, FL 32164-4265

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