MEDICARE: SYLVIA A. FLORIAN CNP

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	163W00000X	Registered Nurse	041285806	IL
2	163W00000X	Registered Nurse	064549	MO
3	363L00000X	Nurse Practitioner	209001652	IL
4	363L00000X	Nurse Practitioner	064549	MO

General Provider Information

NPI Number	:	1184780793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA A. FLORIAN CNP

Provider Business Mailing Address
First Line	:	6000 BOND AVE
Second Line	:
City	:	EAST SAINT LOUIS
State	:	IL
Zip	:	62207-2328
Country	:	US
Telephone Number	:	618-332-2740
Fax Number	:	618-332-8755

Provider Business Practice Location Address
First Line	:	6000 BOND AVE
Second Line	:
City	:	EAST SAINT LOUIS
State	:	IL
Zip	:	62207-2328
Country	:	US
Telephone Number	:	618-332-2740
Fax Number	:	618-332-8755

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	10/02/2012

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