Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | ARNP9216305 | FL |
Y | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | APRN9216305 | FL |
NPI | 1083720361 |
---|---|
Provider Name | Lori Ann Stabinski |
First Address | Tampa, FL 33622-5317 |
Second Address | Tampa, FL 33607-6388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 13/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
306938900 | (05) | FL |
Q47156 | (02) | FL |