Healthcare Provider Details

I. General information

NPI: 1629884515
Provider Name (Legal Business Name): MEPRINA JOSEPH RN-BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7402 N 56TH ST STE 100M
TAMPA FL
33617-7746
US

IV. Provider business mailing address

7812 BULLARA DR
TEMPLE TERRACE FL
33637-4918
US

V. Phone/Fax

Practice location:
  • Phone: 656-238-4203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number9259354
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9259354
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: