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NPI Code Detail

MEDICARE: MAYA IMANI PARIS APRN-C

MEDICARE: MAYA IMANI PARIS APRN-C
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 PractitionerAPRN11005868FL
2363LF0000XFamily Nurse Practitioner11005868FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1YWKW7OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225687957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA IMANI PARIS APRN-C
Provider Business Mailing Address
First Line : 1401 CENTERVILLE RD STE 300
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4675
Country : US
Telephone Number : 850-878-8121
Fax Number : 850-942-6515
Provider Business Practice Location Address
First Line : 1401 CENTERVILLE RD STE 600
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4661
Country : US
Telephone Number : 850-878-8121
Fax Number : 850-942-6515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2019
Last Update Date : 03/10/2022

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Directions to “ MAYA IMANI PARIS APRN-C” Practice Location

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