Healthcare Provider Details

I. General information

NPI: 1144874371
Provider Name (Legal Business Name): LAUREN JEAN AMORELLO MSN, APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10150 HIGHLAND MANOR DR STE 205
TAMPA FL
33610-9727
US

IV. Provider business mailing address

10150 HIGHLAND MANOR DR STE 205
TAMPA FL
33610-9727
US

V. Phone/Fax

Practice location:
  • Phone: 813-259-1013
  • Fax: 813-254-0396
Mailing address:
  • Phone: 813-259-1013
  • Fax: 813-254-0396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11003421
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11003421
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11003421
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11003421
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: