Individual
MS. SUE A KORSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4403
(727) 767-4715
Mailing address
6727 RANGER DR, TAMPA, FL 33615-2530
(813) 855-5259
(727) 767-4715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WP0200X
Pediatric Registered Nurse
ARNP960292
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
0960292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303292200
—
FL
05
—
311185700
—
FL
05
—
811643100
—
FL
Enumeration date
01/22/2007
Last updated
03/10/2011
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