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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043370240 NPPES
Other Y071TZ MEDICARE
MEDICAID 306905200 MEDICARE
MEDICAID 000302000 MEDICARE

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