Individual
LILIYA MZHEN PASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM-ARNP
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
9320671
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9320671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023693000
—
FL
01
—
JG325Z
MEDICARE
FL
01
—
UXJ21
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/11/2017
Last updated
10/26/2020
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