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NPI Code Detail

MEDICARE: NICOLE CHEREMOND NURSE PRACTITIONER

MEDICARE: NICOLE CHEREMOND NURSE PRACTITIONER
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
1363LF0000XFamily Nurse PractitionerARNP9372961FL

General Provider Information

NPI Number : 1326358144
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE CHEREMOND NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 3000 MEDICAL PARK DR
Second Line : STE 510
City : TAMPA
State : FL
Zip : 33613-6602
Country : US
Telephone Number : 813-872-4492
Fax Number :
Provider Business Practice Location Address
First Line : 3000 MEDICAL PARK DR STE 510
Second Line :
City : TAMPA
State : FL
Zip : 33613-6602
Country : US
Telephone Number : 813-872-4492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2010
Last Update Date : 11/17/2022

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Directions to “ NICOLE CHEREMOND NURSE PRACTITIONER” Practice Location

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