Individual provider · Type 1 NPI

Tina N. Theobald, ARNP

Nurse Practitioner · Plant City, FL

NPI number 1710310768 Active

Practice location

3302 W Baker St
Plant City, FL 33563-2851

Fax (813) 754-6914

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9268946 (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 1710310768

Tina N. Theobald, ARNP's National Provider Identifier is 1710310768, issued on Aug 14, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plant City, FL. The record was last updated on Nov 14, 2013.