Bouwhuis, Georgette Farnham

Bouwhuis, Georgette Farnham is an individual health care provider with primary practice located at 6640 78Th Ave Suite A, Pinellas Park FL 33781. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bouwhuis, Georgette Farnham can be contacted via phone (727) 518-8660.

Contact Information

Primary practice address
6640 78Th Ave Suite A Pinellas Park FL 33781
Phone: (727) 518-8660
Fax: (727) 518-8662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 3239142 Florida

Profile Details

NPI number 1700112786
LBN Legal business name Bouwhuis, Georgette Farnham
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Apr 28th, 2020 - about 5 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 1700112786 NPPES
Florida MEDICAID 025010200

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