Most Relevant Information
Provider Data
| NPI Number: | 1003066713 |
| Provider Name: | CHARMAINE HENRY APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN2875992 |
Most Important Dates
| Enumeration Date: | 09/30/2008 |
| Last Updated: | 01/15/2019 |
Provider Practice Location
15511 N FLORIDA AVE STE 401
TAMPA
FL
336131220
Practice Location Phone/Fax
| Phone: | 8139633124 |
| Fax: | 8139087808 |
Provider Mailing Location
15511 N FLORIDA AVE STE 401
TAMPA
FL
336131220
Provider Mailing Phone/Fax
| Phone: | 8139633124 |
| Fax: | 8139087808 |