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General NPI Number Information
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NPI Number | 1164133732
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Entity Type | Individual
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Provider Name | LUCY MINAYO STORMANNS APRN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 13919 CARROLLWOOD VILLAGE RUN STE 11
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City | TAMPA
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State | FL
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Zip | 33618-2746
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Country | US
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Telephone | 502-594-9994
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Fax | 813-804-3263
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Provider Business Mailing Address
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Address Line | 11721 GOTHIC LN
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City | TAMPA
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State | FL
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Zip | 33626-2671
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Country | US
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Telephone | 502-594-9993
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Fax | 813-804-3263
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11022920
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License Number State | FL
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