Provider Demographics
NPI:1831570183
Name:LUCANIA, ANDREA (APRN-FAMILY PRACTICE)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:LUCANIA
Suffix:
Gender:F
Credentials:APRN-FAMILY PRACTICE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10940 SHELDON RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4701
Mailing Address - Country:US
Mailing Address - Phone:813-926-4058
Mailing Address - Fax:813-926-9872
Practice Address - Street 1:10940 SHELDON RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-4701
Practice Address - Country:US
Practice Address - Phone:813-926-4058
Practice Address - Fax:813-926-9872
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9269353363LP2300X
FL9269353363LF0000X
FLAPRN9269353363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily