Healthcare Provider Details

I. General information

NPI: 1033153846
Provider Name (Legal Business Name): PATRICIA A BLESSING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 WEBB RD SUITE 104
TAMPA FL
33615-2872
US

IV. Provider business mailing address

6101 WEBB RD SUITE 104
TAMPA FL
33615-2872
US

V. Phone/Fax

Practice location:
  • Phone: 813-290-0422
  • Fax: 813-290-0814
Mailing address:
  • Phone: 813-290-0422
  • Fax: 813-290-0814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN2654532
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: