Provider Demographics
NPI:1740488345
Name:CONCEPCION, IRIS NORMA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:NORMA
Last Name:CONCEPCION
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 1:8145 CEREBELLUM WAY STE 101&102
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1788
Mailing Address - Country:US
Mailing Address - Phone:727-845-4999
Mailing Address - Fax:866-777-2195
Practice Address - Street 1:8145 CEREBELLUM WAY STE 101&102
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1788
Practice Address - Country:US
Practice Address - Phone:727-845-4999
Practice Address - Fax:866-777-2195
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9254985363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health