Bozeman, Andrea Conner

Bozeman, Andrea Conner is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bozeman, Andrea Conner can be contacted via phone (813) 259-8577.

Contact Information

Primary practice address
2 Tampa General Cir Tampa FL 33606-3603
Fax: (813) 259-8551
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP2835942 Florida

Profile Details

NPI number 1376815233
LBN Legal business name Bozeman, Andrea Conner
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2012
Last updated Mar 22nd, 2021 - about 3 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 1376815233 NPPES
Florida Other Y09X4 BLUE CROSS BLUE SHIELD
Florida MEDICAID 004518900 BLUE CROSS BLUE SHIELD

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