Provider Demographics
NPI:1497739742
Name:FRIZZELL, NANCY HELEN (ARNP)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:HELEN
Last Name:FRIZZELL
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 1:1933 W LUMSDEN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-8819
Mailing Address - Country:US
Mailing Address - Phone:813-653-3111
Mailing Address - Fax:813-653-1384
Practice Address - Street 1:1933 W LUMSDEN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8819
Practice Address - Country:US
Practice Address - Phone:813-653-3111
Practice Address - Fax:813-653-1384
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2036602363L00000X, 207R00000X
FLARNP 2036602363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL033538000Medicaid
FL033538000Medicaid
FLY5311ZMedicare PIN