Healthcare Provider Details

I. General information

NPI: 1225035140
Provider Name (Legal Business Name): CATHERINE ANN NUTTING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 W FLETCHER AVE
TAMPA FL
33618-2813
US

IV. Provider business mailing address

3405 W FLETCHER AVE
TAMPA FL
33618-2813
US

V. Phone/Fax

Practice location:
  • Phone: 813-960-3415
  • Fax: 813-960-3465
Mailing address:
  • Phone: 813-960-3415
  • Fax: 813-960-3465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9220227
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: