Individual
MS. TINA S CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 1, TAMPA, FL 33607-6307
(813) 870-4619
(813) 554-8956
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APRN9202935
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9202935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101913300
—
FL
Enumeration date
12/05/2018
Last updated
02/08/2019
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