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Individual

MRS. ASHIMA BAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-BC

Contact information

Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 396-9478
(813) 905-9838
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9171318
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9171318
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000476600
FL
01
Y05CE
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/29/2007
Last updated
05/31/2013
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