MEDICARE: ANN ELIZABETH POLLARD ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9172216	FL

General Provider Information

NPI Number	:	1184143307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN ELIZABETH POLLARD ARNP

Provider Business Mailing Address
First Line	:	1201 72ND ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-4623
Country	:	US
Telephone Number	:	727-424-3538
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 72ND ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-4623
Country	:	US
Telephone Number	:	727-344-1749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	11/10/2017

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