MEDICARE: ALEXANDRA LAUREN NANOS 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
1	363LP2300X	Primary Care Nurse Practitioner	11044452	FL

General Provider Information

NPI Number	:	1922965730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA LAUREN NANOS APRN

Provider Business Mailing Address
First Line	:	307 S ARRAWANA AVE UNIT 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3293
Country	:	US
Telephone Number	:	772-708-7091
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 S ARRAWANA AVE UNIT 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3293
Country	:	US
Telephone Number	:	772-708-7091
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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