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NPI Code Detail

MEDICARE: MRS. CHRISTINE EVON PETSCHEL ARNP

MEDICARE:  MRS. CHRISTINE EVON PETSCHEL  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
1363LF0000XFamily Nurse PractitionerARNP9239101FL

General Provider Information

NPI Number : 1376784249
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE EVON PETSCHEL ARNP
Provider Business Mailing Address
First Line : 9808 CREEK CROSS ST
Second Line :
City : TAMPA
State : FL
Zip : 33647-1807
Country : US
Telephone Number : 904-234-1758
Fax Number : 813-345-8164
Provider Business Practice Location Address
First Line : 6206 COMMERCE PALMS DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-1506
Country : US
Telephone Number : 813-971-2459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2009
Last Update Date : 03/14/2014

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Directions to “ MRS. CHRISTINE EVON PETSCHEL ARNP” Practice Location

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