MEDICARE: MRS. EILEEN MARIE ALMON DNP

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	363LN0000X	Neonatal Nurse Practitioner	APRN1100239	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	FF5ST	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902912090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EILEEN MARIE ALMON DNP

Provider Business Mailing Address
First Line	:	2140 BAYSHORE DR
Second Line	:
City	:	BELLEAIR BEACH
State	:	FL
Zip	:	33786-3427
Country	:	US
Telephone Number	:	913-219-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 BAYSHORE DR
Second Line	:
City	:	BELLEAIR BEACH
State	:	FL
Zip	:	33786-3427
Country	:	US
Telephone Number	:	913-219-3039
Fax Number	:

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/10/2024

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