Individual
BETTINA C. PRATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3000 MEDICAL PARK DR, SUITE 310, TAMPA, FL 33613-4680
(813) 615-7030
(813) 615-8350
Mailing address
3000 MEDICAL PARK DR, SUITE 310, TAMPA, FL 33613-4680
(813) 615-7030
(813) 615-8350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2994312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307322000
—
FL
01
—
Y087C
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/24/2008
Last updated
03/22/2016
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