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NPI Code Detail

MEDICARE: MS. MELINDA W SHIVER APRN

MEDICARE:  MS. MELINDA W SHIVER  APRN
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 Practitioner11028093FL

General Provider Information

NPI Number : 1306620992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELINDA W SHIVER APRN
Provider Business Mailing Address
First Line : 5206 CREEKMORE LN
Second Line :
City : TAMPA
State : FL
Zip : 33624-4027
Country : US
Telephone Number : 813-833-4867
Fax Number :
Provider Business Practice Location Address
First Line : 5206 CREEKMORE LN
Second Line :
City : TAMPA
State : FL
Zip : 33624-4027
Country : US
Telephone Number : 831-833-4867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2023
Last Update Date : 08/23/2023

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Directions to “ MS. MELINDA W SHIVER APRN” Practice Location

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