Individual
TABITHA GENNARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14502 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2040
(813) 592-4275
Mailing address
14502 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9249781
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9249781
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARPN9249781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004146200
—
FL
01
—
4937168
AETNA
FL
01
—
5941163
CIGNA
FL
01
—
FS953Z
MEDICARE PTAN
FL
01
—
Y09PW
BCBS
FL
Enumeration date
09/09/2011
Last updated
04/06/2026
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