Provider Demographics
NPI:1326208331
Name:CONSIGLIERI, LUCY IVETTE (RN)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:IVETTE
Last Name:CONSIGLIERI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:LUCY
Other - Middle Name:I
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2313
Mailing Address - Country:US
Mailing Address - Phone:407-772-9209
Mailing Address - Fax:
Practice Address - Street 1:510 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2313
Practice Address - Country:US
Practice Address - Phone:407-772-9209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1275272163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse