Healthcare Provider Details

I. General information

NPI: 1548621113
Provider Name (Legal Business Name): GUADALUPE ISSASI ARNP-FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2016
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8342 US HIGHWAY 301 N
PARRISH FL
34219-8653
US

IV. Provider business mailing address

8342 US HIGHWAY 301 N
PARRISH FL
34219-8653
US

V. Phone/Fax

Practice location:
  • Phone: 941-729-4400
  • Fax: 941-729-4424
Mailing address:
  • Phone: 941-729-4400
  • Fax: 941-729-4424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9177415
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: