Provider Demographics
NPI:1740373810
Name:POMPEII, JOANN (ARNP)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:POMPEII
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 1:1700 N MCMULLEN BOOTH RD
Mailing Address - Street 2:SUITE C1 & C2
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759
Mailing Address - Country:US
Mailing Address - Phone:727-723-1454
Mailing Address - Fax:727-723-2950
Practice Address - Street 1:1700 N MCMULLEN BOOTH RD
Practice Address - Street 2:SUITE C1 & C2
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-2130
Practice Address - Country:US
Practice Address - Phone:727-723-1454
Practice Address - Fax:727-723-2950
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2970652163WW0000X
TXME 2970652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306463800Medicaid
P00222235OtherRAILROAD MEDICARE
P85239Medicare UPIN
FLE7178ZMedicare ID - Type Unspecified