Individual provider · Type 1 NPI

Anna Petrovna Polovneva, APRN

Nurse Practitioner · Tampa, FL

NPI number 1558057653 Active

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Fax (813) 449-8618

Mailing address

PO Box 198441
Atlanta, GA 30384-8441

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11021391 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1558057653

Anna Petrovna Polovneva, APRN's National Provider Identifier is 1558057653, issued on Apr 12, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Oct 3, 2025.