Healthcare Provider Details

I. General information

NPI: 1932409299
Provider Name (Legal Business Name): LISA ANJANETTE WASHINGTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2010
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD
TAMPA FL
33612-4745
US

IV. Provider business mailing address

36024 SADDLE PALM WAY
ZEPHYRHILLS FL
33541-2908
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax:
Mailing address:
  • Phone: 813-810-8046
  • Fax: 813-631-3841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number3354502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: