Individual
IRINA LYTVYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668-1442
(278) 682-1517
Mailing address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668-1442
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9329931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011671100
—
FL
01
—
Y0MA3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/11/2013
Last updated
04/12/2021
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