MEDICARE: BETTY ANN KASPER CNC

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	133NN1002X	Nutrition Education Nutritionist

General Provider Information

NPI Number	:	1992691265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY ANN KASPER CNC

Provider Business Mailing Address
First Line	:	5800 49TH ST N STE S109
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2146
Country	:	US
Telephone Number	:	727-522-1115
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 49TH ST N STE S109
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2146
Country	:	US
Telephone Number	:	727-522-1115
Fax Number	:

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

Provider Enumeration Date	:	06/14/2025
Last Update Date	:	06/14/2025

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