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Andrea Lisa Entin, RNFA

Registered Nurse, Registered Nurse First Assistant in Lakeland, FL. Individual provider (NPI-1).

NPI number1073856266
StatusActive
Last updated in NPPESOct 2, 2017

Details

NPI
1073856266
Entity type
Individual (NPI-1)
Name
Andrea Lisa Entin
Credential
RNFA
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2013
Last updated
Oct 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First AssistantRN9213040FLYes
163WM0705X Registered Nurse, Medical-SurgicalRN9213040FL

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Phone 863-687-1321 · Fax 863-284-1730

Mailing address

1324 Lakeland Hills Blvd
Attn: Managed Care Dept.
Lakeland, FL 33805

Other practice locations

12880 Commodity Pl
Tampa, FL 33626-3101

Phone 813-343-5500 · Fax 813-343-5506

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