Most Relevant Information
Provider Data
| NPI Number: | 1003476011 |
| Provider Name: | ANGELA MARIE BUMPUS APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11002664 |
Most Important Dates
| Enumeration Date: | 06/20/2019 |
| Last Updated: | 10/25/2024 |
Provider Practice Location
15953 N FLORIDA AVE
LUTZ
FL
335492607
Practice Location Phone/Fax
| Phone: | 8135130808 |
| Fax: |
Provider Mailing Location
9121 LANTERN OAK WAY
LAND O LAKES
FL
346382607
Provider Mailing Phone/Fax
| Phone: | 3522479590 |
| Fax: |