MRS. ANDREA THERESIA SHAFFER, ARNP - NPI NUMBER 1457662645

Summary

Provider Name: MRS. ANDREA THERESIA SHAFFER, ARNP

NPI Number: 1457662645

Clasification: Nurse Practitioner (363L00000X)

Organization: H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCR

Address:
12902 USF MAGNOLIA DR
FOB 1
TAMPA, FL
ZIP 33612

Phone Number: (813) 745-5152



Detailed Information

MRS. Andrea Theresia Shaffer, ARNP is a nurse practitioner in Tampa, FL with 5 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. The assigned NPI number for this provider is 1457662645 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

12902 USF MAGNOLIA DR
FOB 1
TAMPA, FL
ZIP 33612-416
Phone: (813) 745-5152

The enumeration date for this NPI number is 6/23/2010 and was last updated on 6/23/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363L00000X Nurse Practitioner ARNP2619572 FL Yes

NPI Record

No. Field Name Field Value
1 NPI 1457662645
2 Entity Type Code 1
3 Provider Last Name Legal Name SHAFFER
4 Provider First Name ANDREA
5 Provider Middle Name THERESIA
6 Provider Name Prefix Text MRS.
7 Provider Credential Text ARNP
8 Provider First Line Business Practice Location Address 12902 USF MAGNOLIA DR
9 Provider Second Line Business Practice Location Address FOB 1
10 Provider Business Practice Location Address City Name TAMPA
11 Provider Business Practice Location Address State Name FL
12 Provider Business Practice Location Address Postal Code 336129416
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 8137455152
15 Provider Enumeration Date 6/23/2010
16 Last Update Date 6/23/2010
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 363L00000X
19 Provider License Number 1 ARNP2619572
20 Provider License Number State Code 1 FL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor N

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This page was last updated on: 12/10/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.