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NPI Code Detail

MEDICARE: ASTRID LIED APRN

MEDICARE: ASTRID LIED APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11029316FL
2363L00000XNurse PractitionerAPRN11029316FL

General Provider Information

NPI Number : 1548034416
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASTRID LIED APRN
Provider Business Mailing Address
First Line : 157 SPRINGWOOD CIR APT D
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-5048
Country : US
Telephone Number : 407-415-1625
Fax Number :
Provider Business Practice Location Address
First Line : 775 PRIMERA BLVD STE 1031
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-2190
Country : US
Telephone Number : 407-537-5619
Fax Number : 321-204-7073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 01/26/2026

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Directions to “ ASTRID LIED APRN” Practice Location

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