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
Phone: (813) 259-8577
Fax: (813) 259-8551
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376815233 | NPPES |
Florida | Other | Y09X4 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 004518900 | BLUE CROSS BLUE SHIELD |
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