Individual
MRS. IRINA ALEXANDROVNA VANGELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1509 LAKEHURST WAY, BRANDON, FL 33511-2322
(999) 999-9999
Mailing address
1509 LAKEHURST WAY, BRANDON, FL 33511-2322
(727) 488-1452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11008933
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11008933
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11008933
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11008933
FL
Other
Enumeration date
10/09/2020
Last updated
07/19/2021
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