Individual
LACEY SHEFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9040 NW 21ST ST, PEMBROKE PINES, FL 33024-3217
(954) 290-5083
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11016210
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11016210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2HH2M
BCBS
FL
Enumeration date
11/15/2021
Last updated
05/04/2022
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