Lynne M Lacey Crandall in North Port - Nurse Practitioner
Lynne M Lacey Crandall - NPI 1104932623
Lynne M Lacey Crandall is a Nurse Practitioner in North Port, Florida. Lynne M Lacey Crandall practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lynne M Lacey Crandall is 1104932623. The last update date is 2007-07-08.
Lynne M Lacey Crandall's current location address is 13815 Tamiami Trl, North Port, Florida. You can contact this provider via phone number 9414264900 and fax number 9414263994. The mailing address for Lynne M Lacey Crandall is 13815 Tamiami Trl, North Port, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lynne M Lacey Crandall |
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Address | 13815 Tamiami Trl, North Port, Florida |
Phone Number | 9414264900 |
Fax Number | 9414263994 |
Sole Proprietor | N |
Credentials | MS, CNS, A |
NPI Number Detail
NPI Number | 1104932623 |
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Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 13815 Tamiami Trl |
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City | North Port |
State | Florida (FL) |
Post Code | 342872069 |
Phone Number | 9414264900 |
Fax Number | 9414263994 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | ARNP3380712 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Lynne M Lacey Crandall by the Centers for Medicare & Medicaid Services?
The Lynne M Lacey Crandall has been assigned the NPI (National Provider Identifier) 1104932623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lynne M Lacey Crandall is physically located?
The Lynne M Lacey Crandall is situated at the following address: 13815 Tamiami Trl, North Port, FL 342872069.
What is Lynne M Lacey Crandall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lynne M Lacey Crandall is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date was the 1104932623 assigned to Lynne M Lacey Crandall?
The Lynne M Lacey Crandall was issued its 1104932623 on 2006-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lynne M Lacey Crandall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lynne M Lacey Crandall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.