Individual
NOELLA CYPRESS WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3369782
FL
364SA2200X
Adult Health Clinical Nurse Specialist
ARNP3369782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100964300
—
FL
01
—
NCX61
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/06/2010
Last updated
03/30/2021
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