Unknown Individual – Nurse Practitioner, NPI 1467486662
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5005, Hillcrest Drive, Hathaways Mountain Pines, Arnold, Calaveras County, California, 95223, United States
SUITE 112
BAY PINES, FL 33744
Phone: (727) 398-6661
Fax: (727) 319-1003
Type: Mailing
Bay Pines Lakes Boulevard, Bay Pines, Pinellas County, Florida, 33708, United States
BAY PINES, FL 33744
Phone: (727) 398-6661
Fax: (505) 262-7371
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 ·
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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 33744)
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