MEDICARE: LINDSAY WIBERLY MSN, APRN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	11035709	FL

General Provider Information

NPI Number	:	1659197317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY WIBERLY MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	4648 JERRILYN CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6724
Country	:	US
Telephone Number	:	727-808-1606
Fax Number	:

Provider Business Practice Location Address
First Line	:	21859 FL-54
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549
Country	:	US
Telephone Number	:	727-808-1606
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	06/19/2026

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