Healthcare Provider Details
I. General information
NPI: 1538312780
Provider Name (Legal Business Name): LAWANDA NADINE GOEHRING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/01/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
820 DRUID HILLS RD
TEMPLE TERRACE FL
33617-3812
US
IV. Provider business mailing address
5400 E FOWLER AVE STE C253
TAMPA FL
33617-2222
US
V. Phone/Fax
- Phone: 917-565-3687
- Fax:
- Phone: 813-459-7552
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | SP010006 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SP010006 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 302244 |
| License Number State | NY |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | APRN9428628 |
| License Number State | FL |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN9428628 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: