Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11008902 | FL |
NPI | 1124631122 |
---|---|
Provider Name | Reyleen Rey Loreto |
First Address | Tampa, FL 33607-6436 |
Second Address | Tampa, FL 33607-6436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2020 |
Last Update Date | 14/05/2021 |