Individual
TANGELA D EWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
413 W ROBERTSON ST STE B, BRANDON, FL 33511-5014
(813) 999-1516
Mailing address
413 W ROBERTSON ST STE B, BRANDON, FL 33511-5014
(813) 999-1516
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11018527
FL
363LP2300X
Primary Care Nurse Practitioner
11018527
FL
Other
Enumeration date
08/02/2023
Last updated
10/02/2023
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