Provider Demographics
NPI:1417084880
Name:ROSSITER, ALICIA GILL (ARNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:GILL
Last Name:ROSSITER
Suffix:
Gender:F
Credentials:ARNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 AEGEAN AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3310
Mailing Address - Country:US
Mailing Address - Phone:813-251-3973
Mailing Address - Fax:
Practice Address - Street 1:1202 E PALM AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33605-3512
Practice Address - Country:US
Practice Address - Phone:813-273-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2620002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily