Individual
LISA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
3000 MEDICAL PARK DR STE 500, TAMPA, FL 33613-6600
(813) 615-7007
Mailing address
8016 124TH TER, LARGO, FL 33773-2920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9338336
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
11024692
FL
Other
Enumeration date
02/20/2023
Last updated
06/27/2023
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