Individual
AMY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5357 EHRLICH RD, TAMPA, FL 33625-5505
(813) 968-4003
Mailing address
5357 EHRLICH RD, TAMPA, FL 33625-5505
(813) 968-4003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP1359622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598942237
NPI
FL
Enumeration date
01/24/2008
Last updated
06/24/2013
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