Individual
OLESSY ESTEPHANNY DANZ CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-0483
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11025575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124087700
—
FL
01
—
OAFK0
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/02/2021
Last updated
12/03/2024
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