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NPI Code Detail

MEDICARE: DIANELLYS PINTO APRN

MEDICARE: DIANELLYS PINTO 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 Practitioner11015419FL
2363LF0000XFamily Nurse PractitionerRN9509344FL
3363LF0000XFamily Nurse PractitionerAPRN11015419FL

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 : 1962174185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANELLYS PINTO APRN
Provider Business Mailing Address
First Line : 13136 SIAM DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-1370
Country : US
Telephone Number : 352-584-1033
Fax Number :
Provider Business Practice Location Address
First Line : 6279 N LECANTO HWY
Second Line :
City : BEVERLY HILLS
State : FL
Zip : 34465-2503
Country : US
Telephone Number : 352-522-0094
Fax Number : 352-522-0098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 01/11/2023

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