Individual
MS. IRYNA V KASUMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, MSN, CWS
Contact information
Practice address
400 PINELLAS ST STE 325, CLEARWATER, FL 33756-3320
(727) 298-6121
(727) 298-6151
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-0002
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
APRN9315623
FL
363L00000X
Nurse Practitioner
Primary
APRN9315623
FL
363LA2100X
Acute Care Nurse Practitioner
9315623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114956300
—
FL
Enumeration date
12/28/2016
Last updated
02/13/2024
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