Provider Demographics
NPI:1548590342
Name:CARTAGENA, LYNN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:CARTAGENA
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 1:11211 N NEBRASKA AVE
Mailing Address - Street 2:SUITE A-5
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5777
Mailing Address - Country:US
Mailing Address - Phone:813-514-2333
Mailing Address - Fax:813-514-2216
Practice Address - Street 1:11211 N NEBRASKA AVE
Practice Address - Street 2:SUITE A-5
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5777
Practice Address - Country:US
Practice Address - Phone:813-514-2333
Practice Address - Fax:813-514-2216
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9268698363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9268698OtherLICENSE