MARY ROSE BALUNOS MITCHELL ARNP NPI 1689959942

NPI Information

NPI: 1689959942
Provider Name: MARY ROSE BALUNOS MITCHELL, ARNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2 TAMPA GENERAL CIR
2ND FLOOR
TAMPA, FL
ZIP 33606
Phone: (813) 259-8700
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Mary Rose Balunos Mitchell, ARNP is a pediatrics nurse practitioner in Tampa, FL. Mary Rose Balunos Mitchell, ARNP NPI is 1689959942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 TAMPA GENERAL CIR
2ND FLOOR
TAMPA, FL
ZIP 33606-603
Phone: (813) 259-8700
Fax: (813) 250-2101

The enumeration date for this NPI number is 10/19/2011 and was last updated on 9/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	363LF0000X	Nurse Practitioner	Family	ARNP9250094	FLORIDA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9250094	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FP641Z	MEDICARE PIN	FLORIDA
2	004224300	MEDICAID	FLORIDA
3	Y09A1	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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