Individual
ELLEN F HEIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5460
(813) 844-1655
Mailing address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5460
(813) 844-1655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3304002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304985000
—
FL
01
—
P00002089
RR MEDICARE
FL
Enumeration date
07/03/2006
Last updated
07/08/2019
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