Provider Demographics
NPI:1962391896
Name:DIAS, ANETTE FRANCENE (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ANETTE
Middle Name:FRANCENE
Last Name:DIAS
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:ANETTE
Other - Middle Name:FRANCENE
Other - Last Name:HERNANDEZ-MENDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5823 N LOIS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-5528
Mailing Address - Country:US
Mailing Address - Phone:813-297-3658
Mailing Address - Fax:
Practice Address - Street 1:8108 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-3103
Practice Address - Country:US
Practice Address - Phone:813-397-5300
Practice Address - Fax:855-313-7935
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040654363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty