Individual provider · Type 1 NPI
Lisbet Yamel Gongora
Nurse Practitioner · Bradenton, FL
Practice location
2809 20th Avenue Dr W
Bradenton, FL 34205-3825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11049360 (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 1386565604
Lisbet Yamel Gongora's National Provider Identifier is 1386565604, issued on Jul 22, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bradenton, FL. The record was last updated on Jul 22, 2026.