MEDICARE: YVETTE NGUENEBA 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	363L00000X	Nurse Practitioner	11045759	FL

General Provider Information

NPI Number	:	1881945814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVETTE NGUENEBA FNP-BC

Provider Business Mailing Address
First Line	:	10123 LANDPORT WAY
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-6962
Country	:	US
Telephone Number	:
Fax Number	:	202-291-4009

Provider Business Practice Location Address
First Line	:	2061 COLLIER PKWY
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-5202
Country	:	US
Telephone Number	:	727-845-5707
Fax Number	:

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

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	03/17/2026

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