Provider Demographics
NPI:1265146708
Name:LENT, CHRISTY (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:LENT
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 1:305 MEMORIAL MEDICAL PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-5157
Mailing Address - Country:US
Mailing Address - Phone:386-615-1521
Mailing Address - Fax:386-671-0694
Practice Address - Street 1:305 MEMORIAL MEDICAL PKWY STE 301
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5157
Practice Address - Country:US
Practice Address - Phone:386-615-1521
Practice Address - Fax:386-671-0694
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF0123028363LF0000X
FLF01230236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily