Provider Demographics
NPI:1275028201
Name:ARTHUS, ANTONIDE (APRN)
Entity Type:Individual
Prefix:
First Name:ANTONIDE
Middle Name:
Last Name:ARTHUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17511 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3211
Mailing Address - Country:US
Mailing Address - Phone:813-915-5459
Mailing Address - Fax:813-515-7955
Practice Address - Street 1:17511 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3211
Practice Address - Country:US
Practice Address - Phone:813-915-5459
Practice Address - Fax:813-515-7955
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9357827363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily