Individual provider · Type 1 NPI

Ivan A. Mustafa, ARNP

Nurse Practitioner · Leesburg, FL

NPI number 1497727804 Active

Practice location

600 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

8490 NE 150th Ave
Williston, FL 32696-3842

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP3098742 (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 1497727804

Ivan A. Mustafa, ARNP's National Provider Identifier is 1497727804, issued on Feb 2, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leesburg, FL. The record was last updated on Jan 28, 2008.