MEDICARE: RITA FAYE HIGHT FNP-BC

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	14108	TN
2	363LF0000X	Family Nurse Practitioner	3005517	KY
3	363LF0000X	Family Nurse Practitioner	ARNP9414659	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1699945899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA FAYE HIGHT FNP-BC

Provider Business Mailing Address
First Line	:	17200 COMMERCE PARK BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2600
Country	:	US
Telephone Number	:	813-615-6394
Fax Number	:

Provider Business Practice Location Address
First Line	:	17200 COMMERCE PARK BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2600
Country	:	US
Telephone Number	:	813-615-6394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	04/24/2020

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