Provider Demographics
NPI:1215964168
Name:TALARICO, JOANNE RUTH (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:RUTH
Last Name:TALARICO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3120
Mailing Address - Country:US
Mailing Address - Phone:727-584-7706
Mailing Address - Fax:727-585-5997
Practice Address - Street 1:1301 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3120
Practice Address - Country:US
Practice Address - Phone:727-584-7706
Practice Address - Fax:727-585-5997
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1861142363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301866100Medicaid
FL500030434OtherRAILROAD MEDICARE
FLY6762OtherBCBS OF FLORIDA
FL1958110OtherUNITED HEALTHCARE
FL1958110OtherUNITED HEALTHCARE
FL301866100Medicaid