Provider Demographics
NPI:1891179651
Name:RUMPH, NAKIA (LPN)
Entity Type:Individual
Prefix:
First Name:NAKIA
Middle Name:
Last Name:RUMPH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12512 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3379
Mailing Address - Country:US
Mailing Address - Phone:813-972-8700
Mailing Address - Fax:
Practice Address - Street 1:12512 BRUCE B DOWNS BLVS
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3379
Practice Address - Country:US
Practice Address - Phone:813-972-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-11
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5205159164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse