Individual provider · Type 1 NPI

Lisa Tracy Ann Bryan Ukawuilulu, APRN

Nurse Practitioner · Daytona Beach, FL

NPI number 1316416076 Active

Practice location

405 N Clyde Morris Blvd
Daytona Beach, FL 32114-2730

Call (386) 506-8555 Map

Mailing address

5418 Fan Palm Ct
Port Orange, FL 32128-7447

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	9282094 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316416076

Lisa Tracy Ann Bryan Ukawuilulu, APRN's National Provider Identifier is 1316416076, issued on Nov 23, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Nov 23, 2018.