Individual
IVETH MASTRAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 N GOLDENROD RD STE 106, WINTER PARK, FL 32792-8611
(407) 478-0028
(321) 203-4720
Mailing address
16662 CORNER LAKE DR, ORLANDO, FL 32820-1928
(321) 948-6122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11003642
FL
363LA2200X
Adult Health Nurse Practitioner
11003642
FL
363LF0000X
Family Nurse Practitioner
11003642
FL
363LP0200X
Pediatric Nurse Practitioner
11003642
FL
363LP2300X
Primary Care Nurse Practitioner
11003642
FL
363LW0102X
Women's Health Nurse Practitioner
11003642
FL
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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