Healthcare Provider Details

I. General information

NPI: 1235531229
Provider Name (Legal Business Name): LORI J WESSON ARNP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2014
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 MANASOTA BEACH RD
ENGLEWOOD FL
34223-6462
US

IV. Provider business mailing address

PO BOX 1507
ENGLEWOOD FL
34295-1507
US

V. Phone/Fax

Practice location:
  • Phone: 941-822-5117
  • Fax:
Mailing address:
  • Phone: 941-822-5117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberARNP2196072
License Number StateFL

VIII. Authorized Official

Name: LORI WESSON
Title or Position: OWNER
Credential: ARNP
Phone: 941-822-5117