Individual provider · Type 1 NPI

Theresa Lupe, MSN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Orlando, FL

NPI number 1154881027 Active

Practice location

7000 H C Kelley Rd
Orlando, FL 32831-2521

Mailing address

2230 Michigan St
Melbourne, FL 32904-6131

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11001232 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1154881027

Theresa Lupe, MSN, PMHNP-BC's National Provider Identifier is 1154881027, issued on Mar 25, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orlando, FL. The record was last updated on Mar 25, 2019.