Provider Demographics
NPI:1376729327
Name:NUMMI, LISA KAY (ARNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:KAY
Last Name:NUMMI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8728 WINSOME WAY
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34637-5818
Mailing Address - Country:US
Mailing Address - Phone:813-245-0519
Mailing Address - Fax:
Practice Address - Street 1:8728 WINSOME WAY
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34637-5818
Practice Address - Country:US
Practice Address - Phone:813-245-0519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-20
Last Update Date:2008-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1430052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily