Facts
- Status
- A
- Credential
- APRN, FNP-C
- Type
- Individual
- Enumeration date
- 2023-06-02
- Last updated
- 2025-10-27
Specialties
Licenses
- License FL
- 11026668
Location
- Practice location
- 13906 LAKESHORE BLVD STE 330
- City
- HUDSON FL
- Postal code
- 346671487
- Phone
- 727-863-5242
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.