person
Elisa Rosario Icaza, ARNP
Primary Care Nurse Practitioner in St. Petersburg, Florida
NPI 1194770271

Elisa Rosario Icaza is a Primary Care Nurse Practitioner based in St. Petersburg, FL and is specialized in Primary Care. Elisa Rosario Icaza practices in St. Petersburg, FL and has the professional credentials of ARNP. The NPI Number for Elisa Rosario Icaza is 1194770271 and holds a License No. APRN1701762 (Florida).

The current practice location address for Elisa Rosario Icaza is 1700 66Th St. N., St. Petersburg, FL and can be reached out via phone at 727-384-2479 and via fax at 727-384-3573.

Location: 1700 66Th St. N., St. Petersburg, FL, 33710-5512
person
Provider Profile Details
NPI Number
1194770271
Provider Name
Elisa Rosario Icaza
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1700 66Th St. N., St. Petersburg, FL, 33710-5512
Phone Number
727-384-2479
Fax Number
727-384-3573
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
304992200 05 FL
institution
Provider Business Practice Location Address Details
Address
1700 66Th St. N.
City
State
Zip
33710-5512
Phone Number
727-384-2479
Fax Number
727-384-3573
person
Provider Business Mailing Address Details
Address
1700 66Th St. N.
City
State
Zip
33710-5512
Phone Number
727-384-2479
Fax Number
727-384-3573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
APRN1701762 (Florida)
Definition
Definition to come...
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