Provider Demographics
NPI:1649705856
Name:LOMELLI, IRISBELSY (APRN)
Entity type:Individual
Prefix:MS
First Name:IRISBELSY
Middle Name:
Last Name:LOMELLI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BELSY
Other - Middle Name:
Other - Last Name:LOMELLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:4254 CORONADO RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-2202
Mailing Address - Country:US
Mailing Address - Phone:407-670-8969
Mailing Address - Fax:
Practice Address - Street 1:985 STATE ROAD 436
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5664
Practice Address - Country:US
Practice Address - Phone:407-831-5252
Practice Address - Fax:407-831-3765
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3241422363LA2200X
FL3241422363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner