Individual
REBECCA ANN LAUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
5512 18TH ST NE, SAINT PETERSBURG, FL 33703-1731
(813) 453-7931
Mailing address
5512 18TH ST NE, SAINT PETERSBURG, FL 33703-1731
(813) 453-7931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9215914
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9215914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATN556765
—
FL
Enumeration date
04/04/2014
Last updated
05/30/2019
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