Marilynn G Bozak, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP 2154412 Issued in FL

Practice address

11716 Plumosa Rd
Tampa, FL 33618-3624

Phone

(813) 968-4784

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marilynn Horner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1164867180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 PLUMOSA RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183624",
            "telephone_number": "813-968-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 PLUMOSA RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183624",
            "telephone_number": "813-968-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZAK",
        "first_name": "MARILYNN",
        "middle_name": "G",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 2154412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYNN",
            "last_name": "HORNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boylston, Inc.
• Araceli Boyzo
• Gerald M. Boza Jr.
• Gloria Michelle Boza, D.M.D.
• Marise Boza
• Andrea Conner Bozeman, ARNP
• Kaylei Marie Bozeman
• Klaudija Bozic
• Marie K Bozman, PHARMD
• Ali M. Bozorg, MD

• Psychiatric/Mental Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.