Healthcare Provider Details
I. General information
NPI: 1326770249
Provider Name (Legal Business Name): NP HEALTH SOLUTIONS OF TAMPA BAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2022
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1012 DRUID RD E
CLEARWATER FL
33756-5606
US
IV. Provider business mailing address
8006 TUDOR PL
TAMPA FL
33610-5745
US
V. Phone/Fax
- Phone: 727-443-4242
- Fax: 813-291-7521
- Phone: 813-557-6192
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
THERESA
M
WEBB
Title or Position: DNP APRN FNP-C, PMHP-BC
Credential: DNP APRN
Phone: 813-557-6192