Provider Demographics
NPI:1710004957
Name:BITTERMAN, BEVERLY JANE (ARNP)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:JANE
Last Name:BITTERMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 N BELCHER RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2103
Mailing Address - Country:US
Mailing Address - Phone:727-447-3000
Mailing Address - Fax:727-210-4600
Practice Address - Street 1:802 N BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2103
Practice Address - Country:US
Practice Address - Phone:727-447-3000
Practice Address - Fax:727-210-4600
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9177099363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner