Provider Demographics
NPI:1669825238
Name:CANARELLI, VICTORIA LYNDSEY (APRN)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LYNDSEY
Last Name:CANARELLI
Suffix:
Gender:
Credentials:APRN
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:LYDNSEY
Other - Last Name:PASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:250 S CENTRAL BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8812
Mailing Address - Country:US
Mailing Address - Phone:561-309-4767
Mailing Address - Fax:561-678-3556
Practice Address - Street 1:3100 WESTON RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3602
Practice Address - Country:US
Practice Address - Phone:216-636-8316
Practice Address - Fax:216-636-6036
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9308715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily