Lourdes Williams Correa
Individual provider Active NPI Registered Nurse · Hane City, FL
NPI 1336036177 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1336036177
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9214257 (FL)
- Practice address
- 4071 Barbara Ave
Hane City, FL 33844 - Phone
- (407) 201-1916
- NPI assigned
- Jun 23, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9214257 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9214257 | FL | Yes |
Addresses
Primary practice location
4071 Barbara Ave
Hane City, FL 33844
Mailing address
P.O. Box 491
Haines City, FL 33845
Phone (407) 201-1916
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.