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Individual provider Active NPI Nurse's Aide · Lutz, FL

NPI 1871190447 · NPPES record last updated Oct 6, 2020

Key facts

NPI
1871190447
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
321309 (FL)
Practice address
112 Crenshaw Lake Rd
Lutz, FL 33548-6101
Phone
(813) 900-5415
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
321309FLMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide
Group: 193200000X MULTI-SPECIALTY GROUP
376K00000X 321309 FL Yes

Addresses

Primary practice location

112 Crenshaw Lake Rd
Lutz, FL 33548-6101

Mailing address

112 Crenshaw Lake Rd
Lutz, FL 33548-6101
Phone (813) 900-5415

Other providers in Lutz, FL

All providers in Lutz, FL · Nurse's Aide in Florida

Sources for this page

Verify at the official NPI Registry.