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NPI Code Detail

MEDICARE: MRS. RITA K. NICHOLSON ARNP

MEDICARE: MRS. RITA K. NICHOLSON 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP9315299FL
2363L00000XNurse PractitionerAPN 1415AK
3363LP0808XPsychiatric/Mental Health Nurse Practitioner110437NE
4363LW0102XWomen's Health Nurse PractitionerARNP9315299FL
5363LP0808XPsychiatric/Mental Health Nurse PractitionerG186512IA
6363LP0808XPsychiatric/Mental Health Nurse PractitionerNURU1415NE
7363LW0102XWomen's Health Nurse PractitionerARNP110437NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP9315299OTHERFLFL ARNP LICENSE

General Provider Information

NPI Number : 1689748840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RITA K. NICHOLSON ARNP
Provider Business Mailing Address
First Line : 2653 BRUCE B DOWNS BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-9206
Country : US
Telephone Number : 813-326-9608
Fax Number :
Provider Business Practice Location Address
First Line : 2653 BRUCE B DOWNS BLVD STE 108
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-9206
Country : US
Telephone Number : 813-326-9608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 12/10/2025

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