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NPI Code Detail

MEDICARE: MARLA CRIST SCHENCK A.R.N.P.

MEDICARE:   MARLA CRIST SCHENCK  A.R.N.P.
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
1363LF0000XFamily Nurse PractitionerARNP3178552FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P01161607OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21411796OTHERFLCOVENTRY
39599505OTHERFLAETNA
4285850OTHERFLAVMED

General Provider Information

NPI Number : 1215932835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLA CRIST SCHENCK A.R.N.P.
Provider Business Mailing Address
First Line : 4200 N ARMENIA AVE
Second Line : STE 1
City : TAMPA
State : FL
Zip : 33607-6438
Country : US
Telephone Number : 813-877-4811
Fax Number : 813-872-8978
Provider Business Practice Location Address
First Line : 4915 EHRLICH RD
Second Line :
City : TAMPA
State : FL
Zip : 33624-2038
Country : US
Telephone Number : 813-960-2400
Fax Number : 813-960-2410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/12/2014

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Directions to “ MARLA CRIST SCHENCK A.R.N.P.” Practice Location

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