Individual provider · Type 1 NPI

Stanley Dingbobga Fomban, APRN

Family Nurse Practitioner · Lutz, FL

NPI number 1639890908 Active

Practice location

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005

Fax (813) 463-1801

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11021138 (FL)

Family Nurse Practitioner: Definition to come...

30 other providers at this address

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About NPI 1639890908

Stanley Dingbobga Fomban, APRN's National Provider Identifier is 1639890908, issued on Sep 6, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lutz, FL. The record was last updated on Aug 3, 2026.