Berry, Tricia Elizabeth
Berry, Tricia Elizabeth is an sole proprietor health care provider with primary practice located at 2505 Harrison Ave , Panama City FL 32405-4423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berry, Tricia Elizabeth can be contacted via phone (850) 233-3376.Contact Information
Primary practice address
2505 Harrison Ave
Panama City FL 32405-4423
Phone: (850) 233-3376
Fax: (850) 522-8354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9191942 | Florida |
Profile Details
NPI number | 1043370240 |
---|---|
LBN Legal business name | Berry, Tricia Elizabeth |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 11th, 2006 |
Last updated | Oct 20th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043370240 | NPPES |
Other | Y071TZ | MEDICARE | |
MEDICAID | 306905200 | MEDICARE | |
MEDICAID | 000302000 | MEDICARE |
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