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NPI Code Detail

MEDICARE: LISA RAMOS ARCHBOLD ARNP

MEDICARE: LISA RAMOS ARCHBOLD ARNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP 2194342FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821430521
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA RAMOS ARCHBOLD ARNP
Provider Business Mailing Address
First Line : 1815 HEALTH CARE DR STE B
Second Line :
City : TRINITY
State : FL
Zip : 34655-5377
Country : US
Telephone Number : 727-524-4464
Fax Number : 727-210-6945
Provider Business Practice Location Address
First Line : 1815 HEALTH CARE DR STE B
Second Line :
City : TRINITY
State : FL
Zip : 34655-5377
Country : US
Telephone Number : 727-524-4464
Fax Number : 727-210-6945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2013
Last Update Date : 11/18/2024

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Directions to “ LISA RAMOS ARCHBOLD ARNP” Practice Location

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