Individual provider · NPI-1

Rany N Ahmad, FNP

Nurse Practitioner, Family · Lakeland, FL

NPI number1124594007
StatusActive
Last updated in NPPESOct 8, 2024

Details

NPI
1124594007
Entity type
Individual (NPI-1)
Name
Rany N Ahmad
Credential
FNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 18, 2018
Certification date
Oct 8, 2024
Last updated
Oct 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family9367701FLYes

Practice location

130 Pablo St
Lakeland, FL 33803-3818

Phone 863-284-6800 · Fax 863-687-1033

Mailing address

1324 Lakeland Hills Blvd
Managed Care Dept
Lakeland, FL 33805-7682

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