Provider Demographics
NPI:1194713438
Name:PLATTNER, MARILYN SUE (ARNP)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:SUE
Last Name:PLATTNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:S
Other - Last Name:COFFLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:7442 MITCHELL RANCH RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-3234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-746-7365
Practice Address - Fax:813-449-8618
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1893612363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308471000Medicaid
FL308471000Medicaid
FLY6964XMedicare PIN