MEDICARE: BETTY KIM TOM-EINHORN FNP-C

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	358465	NY

General Provider Information

NPI Number	:	1225963192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY KIM TOM-EINHORN FNP-C

Provider Business Mailing Address
First Line	:	1301 3RD STREET CIR E
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-4242
Country	:	US
Telephone Number	:	941-259-6302
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 3RD STREET CIR E
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-4242
Country	:	US
Telephone Number	:	941-259-6302
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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