Provider Demographics
NPI:1093352866
Name:ASCUNCE, LILIAN (MSN-APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:ASCUNCE
Suffix:
Gender:F
Credentials:MSN-APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6114 SW 158TH PASS
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3696
Mailing Address - Country:US
Mailing Address - Phone:786-205-2014
Mailing Address - Fax:
Practice Address - Street 1:6114 SW 158TH PASS
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3696
Practice Address - Country:US
Practice Address - Phone:786-205-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-29
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty