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TONIA M BADURA CNM

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1265704167

Individual Registrant:
 TONIA M BADURA CNM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
401 CORBETT ST  BELLEAIR, FL 33756 US
Tel: 727-462-2229  Fax: 727-447-5610

Contact information for business:
PO BOX 25317  TAMPA, FL 33622-5317 US
Tel: 813-286-0033  Fax: --

Registration Information:
NPI: 1265704167
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLAPRN9476990
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
FLARNP9476990

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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