MEDICARE: AMANDA K FITCH NAGY APRN

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	ARNP9336792	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01449296	OTHER	FL	RR MCR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316219538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA K FITCH NAGY APRN

Provider Business Mailing Address
First Line	:	PO BOX 82969
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33682-2969
Country	:	US
Telephone Number	:	813-866-0930
Fax Number	:	813-405-3277

Provider Business Practice Location Address
First Line	:	3901 S WEST SHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-1003
Country	:	US
Telephone Number	:	813-397-5300
Fax Number	:	813-738-9013

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

Provider Enumeration Date	:	02/03/2012
Last Update Date	:	07/06/2023

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