Individual
AMY LYNN WILLITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
3838 W NEPTUNE ST, SUITE D5, SOUTH TOWN CENTER, TAMPA, FL 33629-5841
(813) 837-0221
(813) 832-2973
Mailing address
3838 W NEPTUNE ST, SUITE D5, SOUTH TOWN CENTER, TAMPA, FL 33629-5841
(813) 837-0221
(813) 832-2973
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3173442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307330100
—
FL
Enumeration date
03/26/2007
Last updated
09/23/2008
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