Bezanson, Tammara

Bezanson, Tammara is an individual health care provider with primary practice located at 12700 Creekside Ln Ste 201, Fort Myers FL 33919-3356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bezanson, Tammara can be contacted via phone (239) 600-7808.

Contact Information

Primary practice address
12700 Creekside Ln Ste 201 Fort Myers FL 33919-3356
Phone: (239) 600-7808
Fax: (239) 600-7809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2826072 Florida

Profile Details

NPI number 1598752586
LBN Legal business name Bezanson, Tammara
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598752586 NPPES
Florida Other Y0J2A FL BC
Florida MEDICAID 304995700 FL BC

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