MEDICARE: ADVANCED NURSING PRACTICE INC.

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	261QA1903X	Ambulatory Surgical Clinic/Center	ARNP9281348	FL
2	282N00000X	General Acute Care Hospital	ARNP9281348	FL

General Provider Information

NPI Number	:	1588954333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED NURSING PRACTICE INC.

Provider Business Mailing Address
First Line	:	170 ISLE VERDE WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-1708
Country	:	US
Telephone Number	:	516-695-2802
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 ISLE VERDE WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-1708
Country	:	US
Telephone Number	:	516-695-2802
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTINA MARIE TANGREDI
Credential	:	ARNP
Telephone Number	:	516-695-2802

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	04/13/2011

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