Provider Demographics
NPI:1548012578
Name:APPIADU, LORRAINE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:APPIADU
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 ABBOTSFORD CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-5918
Mailing Address - Country:US
Mailing Address - Phone:904-563-0822
Mailing Address - Fax:
Practice Address - Street 1:516 ABBOTSFORD CT
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-5918
Practice Address - Country:US
Practice Address - Phone:904-563-0822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9397165363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health