Provider Demographics
NPI:1588021497
Name:LUNDY, ANN (APRN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:LUNDY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 W GULF TO LAKE HWY
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7838
Mailing Address - Country:US
Mailing Address - Phone:352-794-3872
Mailing Address - Fax:352-794-3876
Practice Address - Street 1:7006 W GULF TO LAKE HWY
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7838
Practice Address - Country:US
Practice Address - Phone:352-794-3872
Practice Address - Fax:352-794-3876
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3298832363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily