Provider Demographics
NPI:1871125278
Name:QUINONES LUMSDEN, KERRI ALYXANDRA (ARNP)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:ALYXANDRA
Last Name:QUINONES LUMSDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 PARKGLEN CIR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-8164
Mailing Address - Country:US
Mailing Address - Phone:407-883-1054
Mailing Address - Fax:
Practice Address - Street 1:1871 PARKGLEN CIR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-8164
Practice Address - Country:US
Practice Address - Phone:407-883-1054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11006022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily