Im, Va

Im, Va is an individual health care provider with primary practice located at 3491 34Th St S , Saint Petersburg, FL 33711. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Im, Va can be contacted via phone (727) 436-4508.

Contact Information

Primary practice address
3491 34Th St S Saint Petersburg, FL 33711
Phone: (727) 436-4508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9230763 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9230763 Florida

Profile Details

NPI number 1396010229
LBN Legal business name Im, Va
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2012
Last updated Apr 1st, 2026 - about 6 months 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 1396010229 NPPES
Florida MEDICAID 016891600

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