Female

Mary A. Gallant-roman ARNP

Adult Health Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Mary Alice Gallant-roman ARNP

NPI Number

1215240700

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/26/2010

Specialties

(Taxonomies)

Code

363LA2200X
363L00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ARNP3286052

Contact
Information

Purpose

Mailing
Location

Address

1 TAMPA GENERAL CIR
1 TAMPA GENERAL CIR

City

Tampa
Tampa

State

FL
FL

Postal Code

33606-3571
33606-3571

Country

US
US

Telephone Number

(813) 844-8523
(813) 844-8523

Identifiers

Identifier

023857700
DG1O5

Identifier State

FL
FL

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mgallantroman6071@direct.tgh.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1 Tampa General CirTampa, FL336063571US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2021

Provider Address

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