Individual provider · Type 1 NPI
Ivonne Medina
Adult Health Nurse Practitioner · Tampa, FL
NPI number
1659014744
Active
Practice location
16510 N Dale Mabry Hwy
Tampa, FL 33618-1325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN9301620 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN11050351 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659014744
Ivonne Medina's National Provider Identifier is 1659014744, issued on Apr 15, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tampa, FL. The record was last updated on Aug 25, 2026.