MEDICARE: NADEGE B MORISSET 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	APRN11025141	FL
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1376720862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADEGE B MORISSET ARNP

Provider Business Mailing Address
First Line	:	2915 E 26TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-1436
Country	:	US
Telephone Number	:	813-248-2607
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 E 26TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-1436
Country	:	US
Telephone Number	:	813-248-2607
Fax Number	:

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

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	09/15/2023

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