Provider Demographics
NPI:1316219538
Name:FITCH NAGY, AMANDA K (APRN)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:K
Last Name:FITCH NAGY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:K
Other - Last Name:FITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 82969
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33682-2969
Mailing Address - Country:US
Mailing Address - Phone:813-866-0930
Mailing Address - Fax:813-405-3277
Practice Address - Street 1:3901 S WEST SHORE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-1003
Practice Address - Country:US
Practice Address - Phone:813-397-5300
Practice Address - Fax:813-738-9013
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9336792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01449296OtherRR MCR
FL004590500Medicaid
FL004590500Medicaid