Bistram, Barbara Ann
Bistram, Barbara Ann is an individual health care provider with primary practice located at 1 Tampa General Cir Suite A327, Tampa FL 33606-3571. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bistram, Barbara Ann can be contacted via phone (813) 844-4396.Contact Information
Primary practice address
1 Tampa General Cir Suite A327
Tampa FL 33606-3571
Phone: (813) 844-4396
Fax: (813) 844-4972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 1757 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R0901280 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP9264662 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 145974030 | Wisconsin |
Profile Details
| NPI number | 1790884575 |
|---|---|
| LBN Legal business name | Bistram, Barbara Ann |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Sep 25th, 2017 - about 8 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 | 1790884575 | NPPES |
| Florida | MEDICAID | 309123600 | |
| Florida | MEDICAID | 39-6105970 | |
| Florida | MEDICAID | 118435100 | |
| Florida | Other | 120G9BI | |
| Florida | Other | G4533 |
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