Unknown Individual – Nurse Practitioner, NPI 1457304842
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8th Avenue West, Palmetto, Manatee County, Florida, 34221, United States
STE 101
PALMETTO, FL 342214737
Phone: (941) 776-4008
Fax: (941) 845-4963
Type: Mailing
Manatee Avenue West, Bradenton, Manatee County, Florida, 34205, United States
BRADENTON, FL 342055432
Phone: (941) 714-7150
Fax: (941) 741-3242
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34221)
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