MEDICARE: KIMBERLY DENAE TOPE 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	363L00000X	Nurse Practitioner	2798892	FL
2	363L00000X	Nurse Practitioner	APRN2798892	FL
3	364SX0200X	Oncology Clinical Nurse Specialist	APRN2798892	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225169451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY DENAE TOPE ARNP

Provider Business Mailing Address
First Line	:	13016 SANCTUARY VILLAGE LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-4104
Country	:	US
Telephone Number	:	813-835-1350
Fax Number	:

Provider Business Practice Location Address
First Line	:	13016 SANCTUARY VILLAGE LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-4104
Country	:	US
Telephone Number	:	813-835-1350
Fax Number	:

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	01/08/2026

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