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NPI Code Detail

MEDICARE: MISS MICHELLE H TARRY ARNP

MEDICARE:  MISS MICHELLE H TARRY  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
1363LF0000XFamily Nurse PractitionerARNP9187162FL

Other Identifiers

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

General Provider Information

NPI Number : 1801268875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MICHELLE H TARRY ARNP
Provider Business Mailing Address
First Line : 14690 SPRING HILL DR STE 101
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-8102
Country : US
Telephone Number : 352-799-0046
Fax Number : 352-606-2857
Provider Business Practice Location Address
First Line : 13235 STATE ROAD 52 STE 102
Second Line :
City : HUDSON
State : FL
Zip : 34669-2968
Country : US
Telephone Number : 727-378-8503
Fax Number : 727-857-7807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2015
Last Update Date : 07/21/2022

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Directions to “ MISS MICHELLE H TARRY ARNP” Practice Location

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