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NPI Code Detail

MEDICARE: MRS. TESSA ALTER EARLE

MEDICARE: MRS. TESSA ALTER EARLE
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
1367500000XCertified Registered Nurse AnesthetistAPRN9361753FL
2367500000XCertified Registered Nurse Anesthetist122369FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497246755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TESSA ALTER EARLE
Provider Business Mailing Address
First Line : 4207 S DALE MABRY HWY UNIT 2114
Second Line :
City : TAMPA
State : FL
Zip : 33611-1430
Country : US
Telephone Number : 386-931-0188
Fax Number :
Provider Business Practice Location Address
First Line : 1 TAMPA GENERAL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3571
Country : US
Telephone Number : 813-844-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 06/12/2026

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Directions to “ MRS. TESSA ALTER EARLE ” Practice Location

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