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General NPI Number Information
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NPI Number | 1306799234
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Entity Type | Individual
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Provider Name | ELYSSA STUART APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 2111 GLENWOOD DR STE 205
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City | WINTER PARK
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State | FL
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Zip | 32792-3328
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Country | US
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Telephone | 800-531-1587
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Fax |
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Provider Business Mailing Address
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Address Line | 7404 IVY TENDRIL AVE
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City | ORLANDO
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State | FL
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Zip | 32829-3048
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Country | US
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Telephone | 954-881-2413
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11043198
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License Number State | FL
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