Provider Demographics
NPI:1033507355
Name:NAPPIER, MISTY
Entity Type:Individual
Prefix:MS
First Name:MISTY
Middle Name:
Last Name:NAPPIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LAKE WIRE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-1503
Mailing Address - Country:US
Mailing Address - Phone:813-817-0094
Mailing Address - Fax:863-937-9353
Practice Address - Street 1:20 LAKE WIRE DR STE 250
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33815-1503
Practice Address - Country:US
Practice Address - Phone:813-817-0094
Practice Address - Fax:863-937-9353
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker