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Ellen Radeker, FNP-BC
Family Nurse Practitioner in Clearwater, Florida
NPI 1558133355

Ellen Radeker is a Family Nurse Practitioner based in New Port Richey, FL and is specialized in Family. Ellen Radeker practices in Clearwater, FL and has the professional credentials of FNP-BC. The NPI Number for Ellen Radeker is 1558133355 and holds a License No. 11029037 (Florida).

The current practice location address for Ellen Radeker is 1207 Court St, Clearwater, FL and can be reached out via phone at 727-418-1684.

Location: 1207 Court St, Clearwater, FL, 34652-2032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558133355
Provider Name
Ellen Radeker
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1207 Court St, Clearwater, FL, 34652-2032
Phone Number
727-418-1684
Fax Number
Provider Enumeration Date
10/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1207 Court St
City
Clearwater
State
Florida
Zip
33756-5801
Phone Number
727-418-1684
Fax Number
person
Provider Business Mailing Address Details
Address
1207 Court St
City
Clearwater
State
Florida
Zip
33756-5801
Phone Number
727-418-1684
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11029037 (Florida)
Definition
Definition to come...
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