Healthcare Provider Details

I. General information

NPI: 1831734219
Provider Name (Legal Business Name): LAUREN RHIANNA WILL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN SMITH CRNA

II. Dates (important events)

Enumeration Date: 11/09/2019
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E FLETCHER AVE
TAMPA FL
33613-4613
US

IV. Provider business mailing address

13419 EUDORA PL
TAMPA FL
33626-2963
US

V. Phone/Fax

Practice location:
  • Phone: 813-971-6000
  • Fax:
Mailing address:
  • Phone: 850-287-3514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11005414
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9383336
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: