Shaliezar Anderson, FNP
Nurse Practitioner, Family in Tampa, FL. Individual provider (NPI-1).
NPI number1639986201
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1639986201
- Entity type
- Individual (NPI-1)
- Name
- Shaliezar Anderson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11036243 | FL | Yes |
Practice location
14203 Clarendon DrTampa, FL 33624-2626
Phone 813-850-6767
Mailing address
14203 Clarendon DrTampa, FL 33624-2626
Phone 813-850-6767
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