LYDIA SUPER APRN
NPI 1437046505
Nurse Practitioner - Family in Lakewood Ranch, FL
Active since June 21, 2025
About Lydia Super Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA SUPER APRN (NPI 1437046505) is an individual family provider in Lakewood Ranch, Florida, licensed in Florida (APRN11037540) and active in the NPI registry since June 2025.
NPPES Registry Identity
NPI1437046505
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA SUPERCredential: APRN
Location Address14312 GNATCATCHER TERLakewood Ranch, FL 34202-8273
Mailing Address14312 Gnatcatcher TerLakewood Ranch, FL 34202-8273 · (941) 685-1449
Phone(941) 685-1449
Sole ProprietorNo
Enumeration DateJune 21, 2025
NPPES CertifiedJune 21, 2025
✔ NPI 1437046505 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11037540
14312 GNATCATCHER TER, Lakewood Ranch, FL 34202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437046505, enumerated as an "individual" on June 21, 2025.
The provider is located at 14312 GNATCATCHER TER LAKEWOOD RANCH, FL 34202 and the phone number is (941) 685-1449.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
