Most Relevant Information
Provider Data
| NPI Number: | 1003332685 |
| Provider Name: | ASTI ELIZABETH REGO FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN9449253 |
Most Important Dates
| Enumeration Date: | 08/16/2017 |
| Last Updated: | 08/16/2017 |
Provider Practice Location
802 N BELCHER RD
CLEARWATER
FL
337652103
Practice Location Phone/Fax
| Phone: | 7274473000 |
| Fax: |
Provider Mailing Location
2905 HANSEN MANOR LN
TAMPA
FL
336112858
Provider Mailing Phone/Fax
| Phone: | 7029562784 |
| Fax: |