Healthcare Provider Details

I. General information

NPI: 1114661857
Provider Name (Legal Business Name): LAUREN M TOPP DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2044 TRINITY OAKS BLVD STE 130
TRINITY FL
34655-4405
US

IV. Provider business mailing address

5210 WEBB RD
TAMPA FL
33615-4518
US

V. Phone/Fax

Practice location:
  • Phone: 727-375-5961
  • Fax: 727-376-8710
Mailing address:
  • Phone: 813-882-9986
  • Fax: 813-341-3259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3016956
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11019784
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3016956
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11019784
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: