Provider Demographics
NPI:1528040110
Name:NEDERVELT, BARBARA ANNE GESCHKE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANNE GESCHKE
Last Name:NEDERVELT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:9218 54TH CT E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-5433
Mailing Address - Country:US
Mailing Address - Phone:941-773-9062
Mailing Address - Fax:813-827-1071
Practice Address - Street 1:3250 ZEMKE AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33621-5023
Practice Address - Country:US
Practice Address - Phone:813-827-9033
Practice Address - Fax:813-827-1071
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL740352363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health