Individual
EBONY DENISE WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9313 N 16TH ST, TAMPA, FL 33612-8655
(863) 221-5487
Mailing address
9313 N 16TH ST, TAMPA, FL 33612-8655
(863) 221-5487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9431535
FL
163WG0000X
General Practice Registered Nurse
RN256530
GA
163WH0200X
Home Health Registered Nurse
Primary
9431535
FL
163WW0000X
Wound Care Registered Nurse
9431535
FL
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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