Provider Demographics
NPI:1952873952
Name:ADDESSI, MARIA ESPERANZA (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ESPERANZA
Last Name:ADDESSI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5418 JULIA LN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-3338
Mailing Address - Country:US
Mailing Address - Phone:727-247-6462
Mailing Address - Fax:
Practice Address - Street 1:1402 W FLETCHER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3368
Practice Address - Country:US
Practice Address - Phone:813-627-4723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000580367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered