Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9299260 | FL |
NPI | 1003276361 |
---|---|
Provider Name | Courtney Pariso |
First Address | Tampa, FL 33613-3904 |
Second Address | Tampa, FL 33613-3904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2016 |
Last Update Date | 01/03/2016 |