Individual
ELLEN BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, SUITE 204, TAMPA, FL 33613-3946
(813) 971-3564
(813) 971-4776
Mailing address
PO BOX 271308, TAMPA, FL 33688-1308
(813) 971-3564
(813) 971-4776
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
930472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930472
LICENSE
FL
Enumeration date
10/12/2006
Last updated
01/28/2011
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