Individual
ELLEN EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5840 W CYPRESS ST, B, TAMPA, FL 33607-7004
(813) 286-0033
(813) 282-1806
Mailing address
5840 W CYPRESS ST, B, TAMPA, FL 33607-7004
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN2990002
FL
367A00000X
Advanced Practice Midwife
Primary
APRN2990002
FL
Other
Enumeration date
10/11/2005
Last updated
07/19/2019
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