Provider Demographics
NPI:1083326045
Name:MANSFIELD, LYNDA MAUREEN (APRN)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:MAUREEN
Last Name:MANSFIELD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 E CROWN DR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34453-0347
Mailing Address - Country:US
Mailing Address - Phone:352-207-4028
Mailing Address - Fax:
Practice Address - Street 1:10969 SE 175TH PL STE 200
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-0901
Practice Address - Country:US
Practice Address - Phone:352-732-5552
Practice Address - Fax:352-732-1131
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11023571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily