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Provider Information for 1982752184

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know


Gender: FEMALE

Individual NPI: 1982752184

Calendar   Last Updated:  2007-07-08
  Certification Date: 


Name Value
NPI 1982752184
Enumeration Date 2007-01-06
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 13242 NORMAN CIR
HUDSON, FL 34669-2452
United States

Phone: 727-514-5554 | Fax: 727-856-8898
View Map External Link
Primary Practice Address 601 BROOKER CREEK BLVD
OLDSMAR, FL 34677-2962
United States

Phone: 813-818-3300 | Fax: 813-818-3220
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LA2200X - Nurse Practitioner Adult Health FL ARNP2024852