Individual provider · Type 1 NPI
Elisha Pranckevicius
Primary Care Nurse Practitioner · Tampa, FL
NPI number
1609766617
Active
Practice location
4207 S Dale Mabry Hwy Unit 4207
Tampa, FL 33611-1434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 11040737 (FL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1609766617
Elisha Pranckevicius's National Provider Identifier is 1609766617, issued on Jul 9, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tampa, FL. The record was last updated on Jul 9, 2025.