MEDICARE: PATRICIA A BLESSING 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	363LP2300X	Primary Care Nurse Practitioner	RN2654532	FL

General Provider Information

NPI Number	:	1033153846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA A BLESSING ARNP

Provider Business Mailing Address
First Line	:	6101 WEBB RD
Second Line	:	SUITE 104
City	:	TAMPA
State	:	FL
Zip	:	33615-2872
Country	:	US
Telephone Number	:	813-290-0422
Fax Number	:	813-290-0814

Provider Business Practice Location Address
First Line	:	6101 WEBB RD
Second Line	:	SUITE 104
City	:	TAMPA
State	:	FL
Zip	:	33615-2872
Country	:	US
Telephone Number	:	813-290-0422
Fax Number	:	813-290-0814

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/08/2007

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