Provider Demographics
NPI:1427146349
Name:LETTS, SYLVIA ELAINE RICE (ARNP)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ELAINE RICE
Last Name:LETTS
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 1:6250 COMMERCIAL WAY
Mailing Address - Street 2:PMB 147
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6329
Mailing Address - Country:US
Mailing Address - Phone:352-650-8959
Mailing Address - Fax:
Practice Address - Street 1:6250 COMMERCIAL WAY
Practice Address - Street 2:PMB 147
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-6329
Practice Address - Country:US
Practice Address - Phone:352-650-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1565352363L00000X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P55964Medicare UPIN
FLE7216ZMedicare ID - Type Unspecified