Individual
ERICKA MUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN
Contact information
Practice address
5004 S MACDILL AVE UNIT B, TAMPA, FL 33611-3807
(813) 333-5335
(813) 738-1561
Mailing address
3690 W GANDY BLVD # 412, TAMPA, FL 33611-2608
(904) 402-0711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11007665
FL
363L00000X
Nurse Practitioner
95014786
CA
363LF0000X
Family Nurse Practitioner
209.026328
IL
Other
Enumeration date
12/10/2020
Last updated
07/24/2024
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