Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP 9295660 | FL |
NPI | 1043745615 |
---|---|
Provider Name | Mrs. Lauren Devin Kuschel |
First Address | Tampa, FL 33603-2603 |
Second Address | Tampa, FL 33603-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2017 |
Last Update Date | 20/04/2017 |