MEDICARE: NURSEREM HEALTHCARE CONSULTS

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1528958220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSEREM HEALTHCARE CONSULTS

Provider Business Mailing Address
First Line	:	10332 GOLDENBROOK WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2929
Country	:	US
Telephone Number	:	813-426-2176
Fax Number	:

Provider Business Practice Location Address
First Line	:	10332 GOLDENBROOK WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2929
Country	:	US
Telephone Number	:	813-426-2176
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TEMITOPE O AJANI
Credential	:	APRN
Telephone Number	:	813-426-2176

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	07/07/2025

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