Theresa Lupe, MSN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Orlando, FL. Individual provider (NPI-1).
NPI number1154881027
StatusActive
Last updated in NPPESMar 25, 2019
Details
- NPI
- 1154881027
- Entity type
- Individual (NPI-1)
- Name
- Theresa Lupe
- Credential
- MSN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Last updated
- Mar 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRN11001232 | FL | Yes |
Practice location
7000 H C Kelley RdOrlando, FL 32831-2521
Phone 407-207-7777
Mailing address
2230 Michigan StMelbourne, FL 32904-6131
Phone 321-271-0503
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