Healthcare Provider Details

I. General information

NPI: 1467766485
Provider Name (Legal Business Name): LINDLEY ROSE ARANAS MOSQUEDA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CELEBRATION PL # 2
CELEBRATION FL
34747-4606
US

IV. Provider business mailing address

380 CELEBRATION PL # 2
CELEBRATION FL
34747-4606
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-4078
  • Fax: 407-303-4803
Mailing address:
  • Phone: 407-303-4078
  • Fax: 407-303-4803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9199643
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: