MRS. PAMELA LYNN DESMARAIS


Address: 2615 Swann Avenue, Tampa, FL 33609
Phone: 8138780089

MRS. PAMELA LYNN DESMARAIS (NPI# 1154321180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154321180
Entity Type Individual
Full Name MRS. PAMELA LYNN DESMARAIS
Credential ARNP
Practice Address 2615 Swann Avenue
Tampa
FL 33609
Mailing Address 464 Lake Hill Lane
Largo
FL 33771
Practice Telephone 8138780089
Practice Fax Number 8138791310
Mailing Telephone 7275424638
Mailing Fax Number 7275304639
Enumeration Date 2005-08-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP2551642 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2615 SWANN AVENUE
City TAMPA
State FL
Zip Code 33609

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NPI Name Taxonomy Address Enumeration
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1043735657 Mary Elizabeth Osbach Registered Nurse 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 2017-08-04
1497275317 Jeilyn M Jimenez Developmental Therapist 550 N Reo Street, Tampa, FL 33609 2017-06-21
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1033561261 Abigail Marie Richardson Developmental Therapist 555 North Reo Street, Tampa, FL 33609 2016-07-12
1275992448 Jennifer Stich Behavioral Analyst 3210 W De Leon St # B, Tampa, FL 33609 2016-02-16
1154711505 Health E Systems, LLC Transportation Broker 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 2015-01-23
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City TAMPA
Zip Code 33609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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