Provider Demographics
NPI:1649763012
Name:PARE, ELIZABETH ROSE (ARNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ROSE
Last Name:PARE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6708 N BRANCH AVE
Mailing Address - Street 2:APT B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5589
Mailing Address - Country:US
Mailing Address - Phone:352-504-0340
Mailing Address - Fax:352-431-3173
Practice Address - Street 1:25344 WESLEY CHAPEL BLVD
Practice Address - Street 2:STE 101
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-7202
Practice Address - Country:US
Practice Address - Phone:323-947-6203
Practice Address - Fax:833-371-1901
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2021-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT8184363LP0808X
FLARNP9409656363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health