Provider Demographics
NPI:1902345218
Name:CURTIS, VIRGINIA RUTH (ARNP-C)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:RUTH
Last Name:CURTIS
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 CLEVELAND HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-4517
Mailing Address - Country:US
Mailing Address - Phone:863-398-1873
Mailing Address - Fax:
Practice Address - Street 1:9009 CORPORATE LAKE DR STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-2365
Practice Address - Country:US
Practice Address - Phone:863-667-8100
Practice Address - Fax:855-314-6843
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2840042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily