# JOANNA MULDER NP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144756172
- **Authorized official:** STEPHANIE E ELLISON (OWNER)
- **Authorized official phone:** (813) 376-0742

## Contact information

- **Practice address:** 13739 OGAKOR DR, RIVERVIEW, FL 33579-2303
- **Practice address phone:** (813) 940-6046
- **Practice address fax:** (866) 451-4607
- **Mailing address:** 13739 OGAKOR DR, RIVERVIEW, FL 33579-2303
- **Mailing address phone:** (813) 940-6046
- **Mailing address fax:** (866) 451-4607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 03/26/2026
