MEDICARE: ANN ELIZABETH SEAVER R.N.

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	163W00000X	Registered Nurse	1793992	FL

General Provider Information

NPI Number	:	1740336601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN ELIZABETH SEAVER R.N.

Provider Business Mailing Address
First Line	:	845 13TH CT SW
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33770-4472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 W KENNEDY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2288
Country	:	US
Telephone Number	:	813-639-1915
Fax Number	:

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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