Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 305688 | OH |
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9293363 | FL |
NPI | 1013041714 |
---|---|
Provider Name | Elizabeth Straka Chung |
First Address | Tampa, FL 33609-4039 |
Second Address | Tampa, FL 33609-4039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 04/11/2014 |