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NPI Code Detail

MEDICARE: SUSAN V TRAUTMAN ARNP

MEDICARE: SUSAN V TRAUTMAN 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
1363LA2200XAdult Health Nurse PractitionerA0208132FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN1064362OTHERFLRN LICENSE
2A0208132OTHERFLARNP CERTIFICATION

General Provider Information

NPI Number : 1225204878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN V TRAUTMAN ARNP
Provider Business Mailing Address
First Line : 6983 E FOWLER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33617-1714
Country : US
Telephone Number : 813-899-6226
Fax Number : 813-985-8006
Provider Business Practice Location Address
First Line : 3100 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33613-4613
Country : US
Telephone Number : 813-971-6000
Fax Number : 813-615-8172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2008
Last Update Date : 02/08/2026

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