MEDICARE: RAJAYSHREE POWER 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	363LG0600X	Gerontology Nurse Practitioner	9327935	FL

General Provider Information

NPI Number	:	1801338595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJAYSHREE POWER ARNP

Provider Business Mailing Address
First Line	:	5058 NIGHT STAR TRL
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-4575
Country	:	US
Telephone Number	:	813-810-4717
Fax Number	:

Provider Business Practice Location Address
First Line	:	2851 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3314
Country	:	US
Telephone Number	:	727-787-4777
Fax Number	:

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

Provider Enumeration Date	:	11/10/2016
Last Update Date	:	07/13/2023

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