Provider Demographics
NPI:1881921203
Name:SCHIFINO, LOIS ALLEN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:ALLEN
Last Name:SCHIFINO
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 1:4607 W BAY TO BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7610
Mailing Address - Country:US
Mailing Address - Phone:813-835-6861
Mailing Address - Fax:
Practice Address - Street 1:4607 W. BAY TO BAY BLVD.
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7610
Practice Address - Country:US
Practice Address - Phone:813-835-6861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL518182363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health